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.
NOTICE: The Payer List page is currently unavailable due to scheduled maintanance
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
Hinsdale Physicians Healthcare
Payer ID
37105
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under payer Sage Technologies.
Hinsdale Physicians Healthcare 37105 835
Hispanic Physician IPA (Encounters Only)
Payer ID
HPIPA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
For DOS on or after 1/1/2021. ERA Enrollment is completed under BCBS of Louisiana (53120)
HMO LA Blue Advantage 72107 835
HMSA Quest
Payer ID
HMSA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HMSA Quest HMSA1 835
HMS Vineyards - CORVEL
Payer ID
J3924
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
HMS Vineyards - CORVEL J3924 835
HN1 Therapy Network
Payer ID
65062
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HN1 Therapy Network 65062 835
Hollywood Presbyterian Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.
Hollywood Presbyterian Medical Group CAPMN 835
Home State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Centene Corporation.
Home State (Centene) 68069 835
Hometown Health Plan Nevada
Payer ID
88023
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hometown Health Plan Nevada 88023 835
Hope Select Care PACE
Payer ID
R3499
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hope Select Care PACE R3499 835
Horace Mann Educators Corporation
Payer ID
J4157
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Horace Mann Educators Corporation J4157 835
Horizon BCBS of New Jersey
Payer ID
22099
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form.
Horizon BCBS of New Jersey 22099 Blue Cross Blue Shield 835
Horizon NJ Health
Payer ID
22326
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Horizon NJ Health 22326 835
Horizon Valley Medical Group
Payer ID
HVMG1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Horizon Valley Medical Group HVMG1 835
Hortica Florist Mutual Insurance
Payer ID
13978
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Hortica Florist Mutual Insurance 13978 835
Hospital Housekeeping Systems (HHS) - CORVEL
Payer ID
J2274
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Hospital Housekeeping Systems (HHS) - CORVEL J2274 835
Hotel Employees & Restaurant Employees Health Trust, Group # F19
Payer ID
91136
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment form under 'Welfare Pension Administration Services'
Hotel Employees & Restaurant Employees Health Trust, Group # F19 91136 835
Housing Authority El Paso (TX)
Payer ID
A0107
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Housing Authority El Paso (TX) A0107 835
Houston Hunters Patrol, Inc.
Payer ID
J1020
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Houston Hunters Patrol, Inc. J1020 835
HSI Care Services
Payer ID
HSICS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
HSI Care Services HSICS 835
Hudson Health Plan (now MVP)
Payer ID
14165
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment form can be found under MVP Health Care
Hudson Health Plan (now MVP) 14165 835
Humana
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana 61101 835
Humana Behavioral Health (formerly LifeSynch)
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Behavioral Health (formerly LifeSynch) 61101 835
Humana Gold Choice
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Gold Choice 61101 835
Humana Gold Plus
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Gold Plus 61101 835
Humana Healthy Horizons Oklahoma
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Humana.
Humana Healthy Horizons Oklahoma 61101 835
Humana Ohio Medicaid
Payer ID
61103
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment should be completed under Medicaid Ohio. If you are already approved to receive ERA for Medicaid of Ohio, you do not have to re-enroll.
Humana Ohio Medicaid 61103 835
Huntington Park Mission Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Huntington Park Mission Medical Group CAPMN 835
Hutchinson Technology - CORVEL
Payer ID
J1626
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Hutchinson Technology - CORVEL J1626 835
IBC Personal Choice
Payer ID
54704
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IBC Personal Choice 54704 835
IBEW Local 6 - San Francisco Electrical Workers
Payer ID
BS001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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They will have a prefix code of "XEL" as their member ID on the BSC card.
IBEW Local 6 - San Francisco Electrical Workers BS001 835
ICare Health Options
Payer ID
26054
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ICare Health Options 26054 835
iCARE (Independent Care Health Plan)
Payer ID
11695
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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To activate ERA/835's, email netdev@icare-wi.org requesting they be activated.
iCARE (Independent Care Health Plan) 11695 835
Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL
Payer ID
J3747
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL J3747 835
iCircle of New York
Payer ID
ICRCL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
iCircle of New York ICRCL 835
Idaho State Insurance Fund (ISIF)
Payer ID
J4738
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Idaho State Insurance Fund (ISIF) J4738 835
I. E. Shaffer
Payer ID
22175
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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West Trenton, New Jersey.
I. E. Shaffer 22175 835
Illinois Health Plans (IHP)
Payer ID
DMG01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Dupage Medical Group
Illinois Health Plans (IHP) DMG01 835
IL Youthcare (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA forms will be listed under Centene Corporation
IL Youthcare (Centene) 68069 835
Imagine360 Administrators (GPA)
Payer ID
48143
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as Group and Pension Administrators.
Basic Plus (TCC) is now part of Imagine360.
Imagine360 Administrators (GPA) 48143 835
IMCare
Payer ID
41600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IMCare 41600 835
Imperial Health Holdings Medical Group
Payer ID
IHHMG
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
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enrollment required
Imperial Health Holdings Medical Group IHHMG 835
INDECS Corporation
Payer ID
40585
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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INDECS Corporation 40585 835
Independence Administrators
Payer ID
54763
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
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Independence Administrators 54763 835
Independence Blue Cross
Payer ID
54704
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independence Blue Cross 54704 835
Independent Health
Payer ID
95308
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independent Health 95308 835
Indiana Farmers Mutual - CORVEL
Payer ID
J3960
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Indiana Farmers Mutual - CORVEL J3960 835
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 835
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana University (IU) Health Plan – Medicare Advantage 95444 835
Indian Health Services / Veteran Affairs
Payer ID
MR085
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indian Health Services / Veteran Affairs MR085 835
Individual Health Insurance Companies
Payer ID
31059
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through fee applies to this transaction.
Individual Health Insurance Companies 31059 835
Ingles Markets
Payer ID
J1907
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Ingles Markets J1907 835
Inland Empire Health Plan
Payer ID
IEHP1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 835
Inland Empire health Plan (Covered California)
Payer ID
IECCA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment is completed under Inland Empire Health Plan (IEHP1)
Inland Empire health Plan (Covered California) IECCA 835
InnovAge
Payer ID
31182
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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InnovAge 31182 835
Innovative Integrated Health, Inc.
Payer ID
IIHPO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Innovative Integrated Health, Inc. IIHPO 835
In Physicians Associates
Payer ID
INP12
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
In Physicians Associates INP12 835
Inservco
Payer ID
J3948
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Inservco J3948 835
Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Administrator of America, Inc. (IAA) 37279 835
Insurance Benefit System Administrators
Payer ID
07689
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Insurance Benefit System Administrators 07689 835
Insurance Company of North America
Payer ID
95722
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Company of North America 95722 835
Insurance Design Administrators - 13315
Payer ID
13315
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
View note
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Insurance Design Administrators - 13315 13315 835
Insurance Management Services
Payer ID
IMSMS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
View note
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Insurance Management Services IMSMS 835
Insurance Systems
Payer ID
11889
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
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Insurance Systems 11889 835
Intact Insurance (Formerly One Beacon) (Auto)
Payer ID
C1026
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Intact Insurance (Formerly One Beacon) (Auto) C1026 835
Integra Administrative Group
Payer ID
51020
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
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Seaford, Deleware.
Integra Administrative Group 51020 835
Integra BMS
Payer ID
56139
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Integra BMS 56139 835
IntegraNet
Payer ID
INET1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IntegraNet INET1 835
IntegraNet SCAN
Payer ID
ISCN1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
IntegraNet SCAN ISCN1 835
Interactive Medical Systems
Payer ID
56132
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
View note
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Interactive Medical Systems 56132 835
Intercare
Payer ID
J1542
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Intercare J1542 835
Intercare Holdings for City and County of San Francisco
Payer ID
J4252
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Intercare Holdings for City and County of San Francisco J4252 835
Intercare - Sussex
Payer ID
J1957
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Intercare - Sussex J1957 835
InterCommunity Health CCO (IHN)
Payer ID
SAMHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Remittance Advice. Previously Payer ID CP001.
InterCommunity Health CCO (IHN) SAMHP 835
Intercommunity Health Net
Payer ID
SAMHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Enrollment found under "HealthCare Partners of Nevada"
Intermountain Health 20501 835
Intermountain Healthcare
Payer ID
J2243
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files
Intermountain Healthcare J2243 835
International Benefit Administrator
Payer ID
11329
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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International Benefit Administrator 11329 835
Iowa Health Advantage
Payer ID
RP075
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Iowa Health Advantage RP075 835
Iowa Total Care (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Centene Corporation.
Iowa Total Care (Centene) 68069 835
Island Home Insurance Company
Payer ID
85502
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Island Home Insurance Company 85502 835
ISS Facility Services - CORVEL
Payer ID
J2276
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
ISS Facility Services - CORVEL J2276 835
Itasca Medical Center
Payer ID
41600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Itasca Medical Center 41600 835
JADE Health Care Medical Group
Payer ID
NMM07
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 9/1/2022 Please contact ProviderRelationsDept@networkmedicalmanagement.com for ERA enrollment requests.
JADE Health Care Medical Group NMM07 835
Jai Medical Systems
Payer ID
JAI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Jai Medical Systems JAI01 835
J B Hunt Transport Inc.
Payer ID
A0138
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
J B Hunt Transport Inc. A0138 835
John Muir Physician Network
Payer ID
JMH01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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If you have never submitted claims to John Muir before, please fax your W-9 with contact name and # to Patty Kan 925-941-2026.
John Muir Physician Network JMH01 835
Johns Hopkins Healthcare
Payer ID
52189
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Johns Hopkins Healthcare 52189 835
Johns Hopkins Healthcare (USFHP)
Payer ID
52123
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Johns Hopkins Healthcare (USFHP) 52123 835
Johnston & Associates, OccuSure Claims Services, and Compass
Payer ID
J4455
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Johnston & Associates, OccuSure Claims Services, and Compass J4455 835
Kaiser Foundation Health Plan of Colorado
Payer ID
91617
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Colorado 91617 835
Kaiser Foundation Health Plan of Georgia
Payer ID
21313
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Georgia 21313 835
Kaiser Foundation Health Plan of Northern CA Region
Payer ID
94135
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Northern CA Region 94135 835
Kaiser Foundation Health Plan of Southern CA Region
Payer ID
94134
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Southern CA Region 94134 835
Kaiser Foundation Health Plan of the Mid-Atlantic States
Payer ID
52095
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Maryland, Virginia and District of Columbia.
Kaiser Foundation Health Plan of the Mid-Atlantic States 52095 835
Kaiser Foundation Health Plan of the Northwest
Payer ID
93079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Same as Payer ID 93079.
Kaiser Foundation Health Plan of the Northwest 93079 835
Kaiser Foundation Health Plan of Washington
Payer ID
91051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Washington 91051 835
