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
Total Community Care
Payer ID
31182
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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Total Community Care 31182 837P
Total Community Care
Payer ID
31182
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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Total Community Care 31182 837I
Total Plan Concepts
Payer ID
80900
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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Total Plan Concepts 80900 837P
Total Plan Concepts
Payer ID
80900
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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Total Plan Concepts 80900 837I
Total Plan Services (via SmartData)
Payer ID
41202
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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Total Plan Services (via SmartData) 41202 837P
Total Plan Services (via SmartData)
Payer ID
41202
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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Total Plan Services (via SmartData) 41202 837I
Total Senior Care
Payer ID
12268
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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Total Senior Care 12268 837P
Total Senior Care
Payer ID
12268
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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Total Senior Care 12268 837I
Touchpoint Solutions / Touchpoint CRM)
Payer ID
TPS01
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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Touchpoint Solutions / Touchpoint CRM) TPS01 837P
Touchstone Health PSO
Payer ID
23856
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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Touchstone Health PSO 23856 837P
Touchstone Health PSO
Payer ID
23856
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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Touchstone Health PSO 23856 837I
Tower Energy Group
Payer ID
J1604
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
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Tower Energy Group J1604 837P
Tower Insurance Company Of New York
Payer ID
J3961
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. Covers CA, IL, LA, MN, NC, NJ, OR, TX.
Tower Insurance Company Of New York J3961 837P
Tower National Insurance Company
Payer ID
J1394
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
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Workers Comp and Auto. Covers TX, MN, CA, IL, LA, NJ, OR, NC
Tower National Insurance Company J1394 837P
Town of Colma (CA)
Payer ID
J1668
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
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Town of Colma (CA) J1668 837P
Tractor Supply Company
Payer ID
J1505
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
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Provider enrollment is required, meaning a PGBA agreement must be on file. If already enrolled with PGBA for TRICARE, no new VACCN EDI enrollment is required.
TriWest Healthcare Alliance VAC45 837P
TriWest Healthcare Alliance
Payer ID
VAC45
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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Hide note
Provider enrollment is required, meaning a PGBA agreement must be on file. If already enrolled with PGBA for TRICARE, no new VACCN EDI enrollment is required.
TriWest Healthcare Alliance VAC45 837I
Triad Group LLC
Payer ID
J4229
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
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Triad Group LLC J4229 837P
Triangle Insurance
Payer ID
J1996
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
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Triangle Insurance J1996 837P
Tribado
Payer ID
32691
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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Tribado 32691 837P
Tribado
Payer ID
32691
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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Tribado 32691 837I
Tribute Health Plan of Arkansas
Payer ID
31118
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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Oklahoma claims should now be sent under Payer ID 31125.
Tribute Health Plan of Arkansas 31118 837P
Tribute Health Plan of Arkansas
Payer ID
31118
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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Oklahoma claims should now be sent under Payer ID 31125.
Tribute Health Plan of Arkansas 31118 837I
Tribute Health Plan of Oklahoma
Payer ID
31125
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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For all Dates of Service (DOS). Payer returns ERA's automatically once electronic claim submission begins.
Tribute Health Plan of Oklahoma 31125 837P
Tribute Health Plan of Oklahoma
Payer ID
31125
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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Hide note
For all Dates of Service (DOS). Payer returns ERA's automatically once electronic claim submission begins.
Tribute Health Plan of Oklahoma 31125 837I
Tricare Active Reservists
Payer ID
73288
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Tricare Active Reservists 73288 837D
Tricare Overseas
Payer ID
FOREN
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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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Tricare Overseas FOREN 837P
Tricare West
Payer ID
99726
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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Coverage: AK, AZ, CA, CO, HI, ID, IA (Except for the Rock Island Arsenal Area), KS, MN, MO, MT NE, NV, NM, ND, OR, SD, West TX, UT, WA.
Tricare West 99726 837P
Tricare West
Payer ID
99726
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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Coverage: AK, AZ, CA, CO, HI, ID, IA (Except for the Rock Island Arsenal Area), KS, MN, MO, MT NE, NV, NM, ND, OR, SD, West TX, UT, WA.
Tricare West 99726 837I
Trigon Blue Cross Blue Shield of Colorado
Payer ID
84103
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
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Hide note
Trigon Blue Cross Blue Shield of Colorado 84103 837D
Trigon Blue Cross Blue Shield of Virginia
Payer ID
84103
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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BCBS provider number required on the claim
Trigon Blue Cross Blue Shield of Virginia 84103 837D
Trigon Insurance Company
Payer ID
84103
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
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Trigon Insurance Company 84103 837D
Trillium Community Health Plans
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
Trillium Community Health Plans 68069 837P
Trillium Community Health Plans
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
Trillium Community Health Plans 68069 837I
Trillium Health Resources
Payer ID
56089
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 East Carolina Behavioral Health.
Trillium Health Resources 56089 837P
Trillium Health Resources
Payer ID
56089
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 East Carolina Behavioral Health.
Trillium Health Resources 56089 837I
Trillium Staffing Solutions
Payer ID
J1674
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. At this time, only Professional (HCFA) claims are accepted.
Trillium Staffing Solutions J1674 837P
Trilogy Network
Payer ID
62777
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
Trilogy Network 62777 837P
Trilogy Network
Payer ID
62777
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
Trilogy Network 62777 837I
Trinity Universal Insurance Company
Payer ID
C1030
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. At this time, only Professional (HCFA) claims are accepted.
Trinity Universal Insurance Company C1030 837P
Triple-S Advantage
Payer ID
973MA
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
Triple-S Advantage 973MA 837P
Triple-S Advantage
Payer ID
973MA
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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Triple-S Advantage 973MA 837I
Triple-S Salud
Payer ID
SB980
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
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Triple-S Salud SB980 837P
Tristar Risk Management
Payer ID
41556
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. At this time, only Professional (HCFA) claims are accepted.
Tristar Risk Management 41556 837P
TruAssure Dental
Payer ID
ILDTA
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
TruAssure Dental ILDTA 837D
True Health New Mexico
Payer ID
82288
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
True Health New Mexico 82288 837P
True Health New Mexico
Payer ID
82288
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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True Health New Mexico 82288 837I
Truli for Health
Payer ID
TRULI
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
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Truli for Health TRULI 837P
Truli for Health
Payer ID
TRULI
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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Truli for Health TRULI 837I
Trusted Health Plan
Payer ID
L0230
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
Trusted Health Plan L0230 837P
Trusted Health Plan
Payer ID
L0230
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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Trusted Health Plan L0230 837I
Trustee Plans (FCHN)
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
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Trustee Plans (FCHN) 91131 837P
Trustee Plans (FCHN)
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
Trustee Plans (FCHN) 91131 837I
Trusteed Insurance (FCHN)
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
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Trusteed Insurance (FCHN) 91131 837P
Trusteed Insurance (FCHN)
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
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Trusteed Insurance (FCHN) 91131 837I
Trusteed Plans Service Corporation
Payer ID
91078
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
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Trusteed Plans Service Corporation 91078 837P
Trusteed Plans Service Corporation
Payer ID
91078
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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Trusteed Plans Service Corporation 91078 837I
Trustmark Insurance Company
Payer ID
61425
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
Trustmark Insurance Company 61425 837P
Trustmark Insurance Company
Payer ID
61425
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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Trustmark Insurance Company 61425 837I
Tufts Health Plan
Payer ID
04298
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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Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.
Tufts Health Plan 04298 837P
Tufts Health Plan
Payer ID
04298
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
Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.
Tufts Health Plan 04298 837I
Tufts Health Public Plan (Network Health)
Payer ID
04332
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
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Tufts Health Public Plan (Network Health) 04332 837P
Tufts Health Public Plan (Network Health)
Payer ID
04332
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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Tufts Health Public Plan (Network Health) 04332 837I
Twin City Fire Insurance Co.
Payer ID
C1040
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
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Twin City Fire Insurance Co. C1040 837P
Tyson Foods Inc.
Payer ID
J1732
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. At this time, only Professional (HCFA) claims are accepted.
Tyson Foods Inc. J1732 837P
UC Davis Health System
Payer ID
UCDMG
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 ERA's automatically once electronic claim submission begins.
UC Davis Health System UCDMG 837P
UC Davis Health System
Payer ID
UCDMG
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 ERA's automatically once electronic claim submission begins.