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
New Hampshire Healthy Families (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.
New Hampshire Healthy Families (Centene) 68069 835
New York Network Management
Payer ID
11334
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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New York Network Management 11334 835
NextBlue
Payer ID
55892
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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NextBlue 55892 835
NGS American
Payer ID
38225
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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NGS American 38225 835
NHC Advantage
Payer ID
NHC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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NHC Advantage NHC01 835
Nippon Life Insurance Company of America
Payer ID
81264
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Nippon Life Insurance Company of America 81264 835
Nivano Physicians IPA
Payer ID
MBA01
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.
Nivano Physicians IPA MBA01 835
Noble AMA Select IPA
Payer ID
PDT01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Form can be found under "Physicians Data Trust".
Noble AMA Select IPA PDT01 835
Noble Community Medical Associates LA
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.
Noble Community Medical Associates LA CAPMN 835
Nomi Health
Payer ID
1NOMI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Nomi Health 1NOMI 835
North America Administrators (NAA) - Nashville, Tennessee
Payer ID
65085
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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North America Administrators (NAA) - Nashville, Tennessee 65085 835
NorthBay Health
Payer ID
NB123
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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.
NorthBay Health NB123 835
North East Medical Services (NEMS)
Payer ID
NEMS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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North East Medical Services (NEMS) NEMS1 835
Northern Nevada Operating Engineers Health and Welfare
Payer ID
88027
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment instructions our listed in our form library under "Benefit Plan Administrators (WI)"
Northern Nevada Operating Engineers Health and Welfare 88027 835
Northern Nevada Trust Fund (Benefit Plan Admin)
Payer ID
88027
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment instructions our listed in our form library under "Benefit Plan Administrators (WI)"
Northern Nevada Trust Fund (Benefit Plan Admin) 88027 835
North Shore - LIJ CareConnect Insurance Company
Payer ID
46227
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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North Shore - LIJ CareConnect Insurance Company 46227 835
Northwest Orange County
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Northwest Orange County PROSP 835
Nova Healthcare Administrators, Inc.
Payer ID
16644
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Grand Island, New York.
Nova Healthcare Administrators, Inc. 16644 835
NovaSys Health (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.
NovaSys Health (Centene) 68069 835
Nuestra Familia Medical
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Nuestra Familia Medical PROSP 835
NYCE PPO Plan
Payer ID
26992
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under UMR (Wausau / UHIS), payer ID 39026.
NYCE PPO Plan 26992 835
Ochsner Health Plan
Payer ID
A5236
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Ochsner Health Plan A5236 835
Ogden Benefits Administration (EBC)
Payer ID
OBA16
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Ogden Benefits Administration (EBC) OBA16 835
Ohana Health Plan
Payer ID
14163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment instructions can be found under WellCare Health Plan
Ohana Health Plan 14163 835
Ohio PPO Connect
Payer ID
74431
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Ohio PPO Connect 74431 835
OhioRISE - Aetna Better Health of Ohio
Payer ID
45221
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.
OhioRISE - Aetna Better Health of Ohio 45221 835
Ojai Valley Community Medical Group
Payer ID
SVIPA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Ojai Valley Community Medical Group SVIPA 835
Oklahoma Complete Health (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.
Oklahoma Complete Health (Centene) 68069 835
Oklahoma DRS DOC
Payer ID
71065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Oklahoma DRS DOC 71065 835
Old Surety Life Insurance Co
Payer ID
29237
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer; enrollment is required.
Old Surety Life Insurance Co 29237 835
One Care Connect (OCC)
Payer ID
CALOP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 7/1/15.
One Care Connect (OCC) CALOP 835
OneCare (OC)
Payer ID
CALOP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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OneCare (OC) CALOP 835
Operating Engineers Local 501 of California
Payer ID
BC001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Payer ID 47198
Operating Engineers Local 501 of California BC001 835
Optima Insurance Company
Payer ID
54154
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Optima Insurance Company 54154 835
Optimum Healthcare
Payer ID
20133
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Optimum Healthcare 20133 835
Optimum Medical Associates
Payer ID
OMA01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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.
Optimum Medical Associates OMA01 835
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network)
Payer ID
LIFE1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EFT enrollment is required in order to activate ERAs.
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network) LIFE1 835
Optum Care Network
Payer ID
OCN01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Previously Known as Health Care Partners California.
Optum Care Network OCN01 835
Optum Care Network–Corona
Payer ID
IP079
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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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Corona IP079 835
Optum Care Network - Empire Physicians MG
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network - Empire Physicians MG IP079 835
Optum Care Network–Hemet Valley
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Hemet Valley IP079 835
Optum Care Network – Inland Faculty Medical Group
Payer ID
MPM70
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Optum Care Network – Inland Faculty Medical Group MPM70 835
Optum Care Network–Inland Valley
Payer ID
IP079
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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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Inland Valley IP079 835
Optum Care Network–Moreno Valley
Payer ID
IP079
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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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Moreno Valley IP079 835
Optum Care Network - Primecare Medical Group
Payer ID
IP079
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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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network - Primecare Medical Group IP079 835
Optum Care Network–Redlands
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Redlands IP079 835
Optum Care Network–Riverside
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Riverside IP079 835
Optum Care Network–Southwestern Valleys
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Southwestern Valleys IP079 835
Optum Care Network–Southwestern Valleys
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Southwestern Valleys IP079 835
Optum Care Network–Sun City
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Sun City IP079 835
Optum Care Network–Valley Physicians
Payer ID
IP079
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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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Valley Physicians IP079 835
Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks)
Payer ID
41194
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) 41194 835
OptumHealth / OptumHealth Physical Health (includes Oxford) (Formerly ACN)
Use Payer ID OMDBH for claim submissions before 12/22/24. For submissions on or after 12/22/24, use Payer ID BHOMD.
Optum Maryland Behavioral Health OMDBH 835
Optum / Salt Lake County (Medicaid)
Payer ID
U6885
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.
Optum / Salt Lake County (Medicaid) U6885 835
Oscar Health
Payer ID
OSCAR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Oscar Health OSCAR 835
PACE Center
Payer ID
CALOP
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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PACE Center CALOP 835
PACE of the Triad
Payer ID
TRI01
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.
PACE of the Triad TRI01 835
Pacific Healthcare IPA Med Assoc
Payer ID
PROSP
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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Pacific Healthcare IPA Med Assoc PROSP 835
Pacific IPA
Payer ID
NMM01
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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Pacific IPA NMM01 835
Pacific Medical Centers (PACMED USFHP)
Payer ID
87347
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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Pacific Medical Centers (PACMED USFHP) 87347 835
PacificSource Community Solutions
Payer ID
20416
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Formerly handled under Payer ID PSCS1 and PSCS2.
PacificSource Community Solutions 20416 835
PacificSource Health Plans
Payer ID
93029
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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PacificSource Health Plans 93029 835
PacificSource Medicare
Payer ID
20377
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PacificSource Medicare 20377 835
Pacific Southwest Administrators (PSWA)
Payer ID
75309
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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Pacific Southwest Administrators (PSWA) 75309 835
PA Health and Wellness (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
PA Health and Wellness (Centene) 68069 835
Palomar Pomerado Hospital
Payer ID
CAPMN
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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ERA enrollment under Conifer Health Solutions.
Palomar Pomerado Hospital CAPMN 835
Pan American Life Insurance Group
Payer ID
04218
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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Pan American Life Insurance Group 04218 835
Paramount Health Care
Payer ID
PARHC
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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Paramount Health Care PARHC 835
Parkland Community Health Plan
Payer ID
66917
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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Enrollment is completed under Aetna Better Health - Parkland (TX)
Parkland Community Health Plan 66917 835
Partners Behavioral Health
Payer ID
13141
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Partners Behavioral Health 13141 835
Partnership HealthPlan of California
Payer ID
CPP08
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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View note
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Partnership HealthPlan of California CPP08 835
Partnership HealthPlan of California CalAim
Payer ID
O9453
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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Enrollment is to be completed under Partnership HealthPlan of California (CPP08).
Partnership HealthPlan of California CalAim O9453 835
Partners National Health Plan of NC
Payer ID
SB810
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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(Same form as BCBS North Carolina).
Partners National Health Plan of NC SB810 835
Pasadena Primary Care Physicians 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.
Pasadena Primary Care Physicians Group CAPMN 835
Passport Health Plan
Payer ID
61325
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Passport Health Plan 61325 835
Patient Advocates LLC
Payer ID
55489
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Patient Advocates LLC 55489 835
PCA Health Plan of Texas (Humana)
Payer ID
95885
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PCA Health Plan of Texas (Humana) 95885 835
PCMG of San Luis Obispo (formerly San Luis Obispo Select IPA)
Payer ID
SLOS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PCMG of San Luis Obispo (formerly San Luis Obispo Select IPA) SLOS1 835
PCMG of Santa Maria (formerly Midcoast Care Inc.)
Payer ID
MCI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PCMG of Santa Maria (formerly Midcoast Care Inc.) MCI01 835
Peach State Health Plan (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.
Peach State Health Plan (Centene) 68069 835
Peak Health
Payer ID
PEAK0
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Peak Health PEAK0 835
Pegasus Medical Group (Regal)
Payer ID
SMG01
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.
Pegasus Medical Group (Regal) SMG01 835
Pekin Insurance
Payer ID
37086
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pekin Insurance 37086 835
PEMCO
Payer ID
J4502
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.
PEMCO J4502 835
Performance Health
Payer ID
PHA01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Performance Health PHA01 835
PerformCare
Payer ID
65391
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Refer to CBHNP-HealthChoices for enrollment information.
PerformCare 65391 835
Personify Health
Payer ID
07205
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Personify Health 07205 835
Personify Health / Benefit Administrative Systems (BAS Health)
Payer ID
36149
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment found under Benefit Administrative Systems
Personify Health / Benefit Administrative Systems (BAS Health) 36149 835
PGBA TriWest VA CCN
Payer ID
VAC45
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Region 4 & 5 States: American Samoa, Arizona, California, Colorado, Guam, Hawaii, Idaho, Montana, New Mexico, Nevada, Northern Mariana Islands, Oregon, Texas, Utah, Washington, Wyoming
PGBA TriWest VA CCN VAC45 835
Philadelphia American Life Insurance Company
Payer ID
98798
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA instructions under New Era Life
Philadelphia American Life Insurance Company 98798 835
PHP of the Carolinas
Payer ID
CB404
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PHP of the Carolinas CB404 835
Physician Partners IPA
Payer ID
PPIPA
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.
Physician Partners IPA PPIPA 835
Physicians Care Network
Payer ID
36345
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Rockford, Illinois only
Physicians Care Network 36345 835
Physicians Choice Medical Group of San Luis Obispo
Payer ID
SLOS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Choice Medical Group of San Luis Obispo SLOS1 835
Physicians Choice Medical Group of Santa Maria
Payer ID
MCI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Choice Medical Group of Santa Maria MCI01 835
Physicians Data Trust (PDT)
Payer ID
PDT01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Data Trust (PDT) PDT01 835
Physicians Health Association of Illinois
Payer ID
37136
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Association of Illinois 37136 835
Physicians Healthcare Plans
Payer ID
65031
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under CarePlus Health Plan (95092). EFT is required in order to receive ERA.
Physicians Healthcare Plans 65031 835
Physicians Health Network (PHN)
Payer ID
MHCM2
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.
