Office Ally may, at its sole option, add or remove Payers to the Services at any time. Office ally will use commercially reasonable efforts to provide Customer with written notice of such removals.
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
WC / Auto
NOTES
Silver Star PACE
Payer ID
97691
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Silver Star PACE 97691 837I
SilverSummit Healthplan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
SilverSummit Healthplan (Centene) 68069 837P
SilverSummit Healthplan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
SilverSummit Healthplan (Centene) 68069 837I
Simply Health Care Plan
Payer ID
SMPLY
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Formerly payer ID 27094.
Simply Health Care Plan SMPLY 837P
Simply Health Care Plan
Payer ID
SMPLY
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Formerly payer ID 27094.
Simply Health Care Plan SMPLY 837I
Sinclair Health Plan
Payer ID
84076
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Sinclair Health Plan 84076 837P
Sinclair Health Plan
Payer ID
84076
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Sinclair Health Plan 84076 837I
SkyGen: DCMED
Payer ID
DCMED
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
SkyGen: DCMED DCMED 837P
SkyGen: DCMED
Payer ID
DCMED
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
SkyGen: DCMED DCMED 837I
Smith Administrators
Payer ID
02057
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Smith Administrators 02057 837P
Smith Administrators
Payer ID
02057
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Smith Administrators 02057 837I
Smoky Mountain Center (now Vaya Health)
Payer ID
13010
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Hide note
ERA's are activated as soon as the provider is approved for EDI submissions.
Smoky Mountain Center (now Vaya Health) 13010 837P
Smoky Mountain Center (now Vaya Health)
Payer ID
13010
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
ERA's are activated as soon as the provider is approved for EDI submissions.
Smoky Mountain Center (now Vaya Health) 13010 837I
Snedeker Risk Management
Payer ID
A7637
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Snedeker Risk Management A7637 837P
Snedeker Risk Management
Payer ID
A7637
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Snedeker Risk Management A7637 837I
Society Insurance
Payer ID
J2139
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Payer returns ERA automatically for rejected claims only.
Society Insurance J2139 837P
Solarte Health
Payer ID
SLRT1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Solarte Health SLRT1 837P
Solidarity Healthshare
Payer ID
SH777
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Solidarity Healthshare SH777 837P
Solidarity Healthshare
Payer ID
SH777
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Solidarity Healthshare SH777 837I
Solis Health Plans
Payer ID
SOLIS
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Solis Health Plans SOLIS 837P
Solis Health Plans
Payer ID
SOLIS
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Solis Health Plans SOLIS 837I
Solstice Benefits
Payer ID
76578
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Solstice Benefits 76578 837D
Sound Health & Wellness Trust (Aetna)
Payer ID
60054
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Sound Health & Wellness Trust (Aetna) 60054 837P
Sound Health & Wellness Trust (Aetna)
Payer ID
60054
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Sound Health & Wellness Trust (Aetna) 60054 837I
Sound Health & Wellness Trust (Aetna)
Payer ID
60054
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Sound Health & Wellness Trust (Aetna) 60054 837D
Sound Health (Sisters of Providence)
Payer ID
91131
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Sound Health (Sisters of Providence) 91131 837P
Sound Health (Sisters of Providence)
Payer ID
91131
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Sound Health (Sisters of Providence) 91131 837I
Sound Health (now known as First Choice Health Network)
Payer ID
91131
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Sound Health (now known as First Choice Health Network) 91131 837P
Sound Health (now known as First Choice Health Network)
Payer ID
91131
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Sound Health (now known as First Choice Health Network) 91131 837I
Sound Health Wellness Trust
Payer ID
91131
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Payer ID 91131 (Sound Health Wellness Trust) should only be used for claims with DOS 8/31/2013 and prior. For DOS after 8/31/13, claims should be sent to Payer ID 60054.
Sound Health Wellness Trust 91131 837P
Sound Health Wellness Trust
Payer ID
91131
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Payer ID 91131 (Sound Health Wellness Trust) should only be used for claims with DOS 8/31/2013 and prior. For DOS after 8/31/13, claims should be sent to Payer ID 60054.
Sound Health Wellness Trust 91131 837I
Soundpath Health (formerly known as Puget Sound Health Partners)
Payer ID
42172
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Soundpath Health (formerly known as Puget Sound Health Partners) 42172 837P
Soundpath Health (formerly known as Puget Sound Health Partners)
Payer ID
42172
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Soundpath Health (formerly known as Puget Sound Health Partners) 42172 837I
South Atlantic Medical Group
Payer ID
SAMG1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins.
South Atlantic Medical Group SAMG1 837P
South Atlantic Medical Group
Payer ID
SAMG1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins.
South Atlantic Medical Group SAMG1 837I
South Carolina Healthy Connections
Payer ID
CKSC1
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
South Carolina Healthy Connections CKSC1 837D
South Central Preferred
Payer ID
23266
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
South Central Preferred 23266 837P
South Central Preferred
Payer ID
23266
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
South Central Preferred 23266 837D
South Coast Area Transit (CA) - CORVEL
Payer ID
J1731
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
South Coast Area Transit (CA) - CORVEL J1731 837P
South Country Health Alliance
Payer ID
81600
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
South Country Health Alliance 81600 837P
South Country Health Alliance
Payer ID
81600
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
South Country Health Alliance 81600 837I
South Dakota Behavioral Health - STARS / State Funding
Payer ID
STARS
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
DSS Contract Number (12-digits [no spaces or dashes]) required in Box 19 (Loop 2300, NTE*ADD).
South Dakota Behavioral Health - STARS / State Funding STARS 837P
South Dakota DSS - STARS / State Funding
Payer ID
STARS
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
DSS Contract Number (12-digits [no spaces or dashes]) required in Box 19 (Loop 2300, NTE*ADD).
South Dakota DSS - STARS / State Funding STARS 837P
South Florida Community Care Network - SFCCN (Commercial)
Payer ID
59064
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Commercial) 59064 837P
South Florida Community Care Network - SFCCN (Commercial)
Payer ID
59064
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Commercial) 59064 837I
South Florida Community Care Network - SFCCN (Medicaid)
Payer ID
59065
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Medicaid) 59065 837P
South Florida Community Care Network - SFCCN (Medicaid)
Payer ID
59065
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Medicaid) 59065 837I
South Florida Musculo Skeletal Care (SFMSC)
Payer ID
06294
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
South Florida Musculo Skeletal Care (SFMSC) 06294 837P
South Plains School WC Program
Payer ID
J3951
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp only.
South Plains School WC Program J3951 837P
South Tahoe Refuse
Payer ID
28580
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
South Tahoe Refuse 28580 837P
South Tahoe Refuse
Payer ID
28580
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
South Tahoe Refuse 28580 837I
SouthCare/Healthcare Preferred
Payer ID
25147
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
SouthCare/Healthcare Preferred 25147 837P
Southeastern Indiana Health (SIHO)
Payer ID
77153
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southeastern Indiana Health (SIHO) 77153 837P
Southeastern Indiana Health (SIHO)
Payer ID
77153
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southeastern Indiana Health (SIHO) 77153 837I
Southern Benefit Services
Payer ID
37318
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern Benefit Services 37318 837P
Southern Benefit Services
Payer ID
37318
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern Benefit Services 37318 837I
Southern California Children's Healthcare Network
Payer ID
ECMSO
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California Children's Healthcare Network ECMSO 837P
Southern California Children's Healthcare Network
Payer ID
ECMSO
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California Children's Healthcare Network ECMSO 837I
Southern California Dairy
Payer ID
BPA01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California Dairy BPA01 837P
Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net
Payer ID
MPM20
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net MPM20 837P
Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net
Payer ID
MPM20
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net MPM20 837I
Southern California Lumber
Payer ID
BPA01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California Lumber BPA01 837P
Southern California Oncology Associates (SCOA)
Payer ID
SCOA1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California Oncology Associates (SCOA) SCOA1 837P
Southern California Oncology Associates (SCOA) - Encounters
Payer ID
SCOAE
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Encounters only.
Southern California Oncology Associates (SCOA) - Encounters SCOAE 837P
Southern California Physicians Managed Care Services (SCPMCS)
Payer ID
SCP01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California Physicians Managed Care Services (SCPMCS) SCP01 837P
Southern California Physicians Managed Care Services (SCPMCS)
Payer ID
SCP01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California Physicians Managed Care Services (SCPMCS) SCP01 837I
Southern California UFCW Unions & Food Employers
Payer ID
SCUFW
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern California, Cypress
Southern California UFCW Unions & Food Employers SCUFW 837P
Southern Illinois Healthcare Association
Payer ID
SIH99
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Southern Illinois Healthcare Association SIH99 837P
Southern Mutual Insurance Company
Payer ID
J3876
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
Southern Mutual Insurance Company J3876 837P
Southern Textile Recycling, Inc. (CA) - CORVEL
Payer ID
J1648
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
Southern Textile Recycling, Inc. (CA) - CORVEL J1648 837P
Southland Advantage Medical Group, Inc.
Payer ID
HSM01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southland Advantage Medical Group, Inc. HSM01 837P
Southland Advantage Medical Group, Inc.
Payer ID
HSM01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southland Advantage Medical Group, Inc. HSM01 837I
Southland IPA
Payer ID
SIPA1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southland IPA SIPA1 837P
Southland IPA
Payer ID
SIPA1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southland IPA SIPA1 837I
Southland San Gabriel Valley Medical Group, Inc.
Payer ID
PHM11
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southland San Gabriel Valley Medical Group, Inc. PHM11 837P
Southwest Key - CORVEL
Payer ID
J3745
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
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Workers Comp and Auto.
Southwest Key - CORVEL J3745 837P
Southwest MI Behavioral Health - Mental Health
Payer ID
A3268
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southwest MI Behavioral Health - Mental Health A3268 837P
Southwest MI Behavioral Health - Mental Health
Payer ID
A3268
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southwest MI Behavioral Health - Mental Health A3268 837I
Southwest MI Behavioral Health Substance Use Disorder
Payer ID
A4585
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southwest MI Behavioral Health Substance Use Disorder A4585 837P
Southwest MI Behavioral Health Substance Use Disorder
Payer ID
A4585
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southwest MI Behavioral Health Substance Use Disorder A4585 837I
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Payer returns ERAs automatically once electronic claim submission begins.
Southwest Oregon IPA (DOCS) DOCSO 837P
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Payer returns ERAs automatically once electronic claim submission begins.
Southwest Oregon IPA (DOCS) DOCSO 837I
Southwest Service Administrators
Payer ID
CX100
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southwest Service Administrators CX100 837P
Southwest Service Administrators
Payer ID
CX100
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southwest Service Administrators CX100 837I
Southwest Service Life
Payer ID
37266
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southwest Service Life 37266 837P
Southwest Service Life
Payer ID
37266
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Southwest Service Life 37266 837I
Southwestern Health Resources Clinically Integrated Network
Payer ID
RP085
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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For Claim DOS after 12/31/22
Southwestern Health Resources Clinically Integrated Network RP085 837P
Southwestern Health Resources Clinically Integrated Network
Payer ID
RP085
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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For Claim DOS after 12/31/22
Southwestern Health Resources Clinically Integrated Network RP085 837I
Space Exploration Technologies Corp - CORVEL
Payer ID
J1990
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
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Workers Comp and Auto.
Space Exploration Technologies Corp - CORVEL J1990 837P
Special Agents Mutual Benefit Association
Payer ID
62308
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Special Agents Mutual Benefit Association 62308 837P
Special Agents Mutual Benefit Association
Payer ID
62308
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Special Agents Mutual Benefit Association 62308 837I
Special Agents Mutual Benefit Association
Payer ID
62308
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Special Agents Mutual Benefit Association 62308 837D
