All Available Payers with Office Ally Payer List

Remits (835)
All
Claims
(837P, 837I, 837D)
Remits
(835)
Eligibility and Benefits
(270/271)
Claim Status
(276/277)
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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
PMG of San Jose
Payer ID
EXC01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Optum Care Network.
Point C/Mid-American Benefits
Payer ID
22823
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Mid-American Benefits
Pomona Valley Medical Group
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pool Administrators Oregon Professional Primary
Payer ID
PAOR1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment under Payer ID PAIOR01
Pool Administrators Oregon Professional Secondary
Payer ID
PAOR2
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment under Payer ID PAIOR02
Populytics (formerly Spectrum Administrators)
Payer ID
23253
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Positive Health Care (PHC) / FL MCO PHC
Payer ID
95411
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prairie States Enterprises
Payer ID
36373
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred Admin Childrens Hosp
Payer ID
EPF11
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred Administrator
Payer ID
EPF10
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred Care Partners - Florida
Payer ID
65088
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred Health Plan of the Carolinas
Payer ID
CB404
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred IPA
Payer ID
PFIPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EFT enrollment is required to receive Electronic Remittance Advice. Contact Preferred IPA provider relations for more information
PreferredOne
Payer ID
41147
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premera Blue Cross Blue Shield of Alaska
Payer ID
00430
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PO Box 91059 Seattle, WA 98111.
Premera Blue Cross of Washington
Payer ID
00430
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PO Box 91059 Seattle, WA 98111.
Premiercare Health Network
Payer ID
PHNPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Premier Care of Northern California
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Premier HealthCare Exchange (PHX) - BMI Kansas
Payer ID
48611
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Commercial Travelers
Payer ID
88091
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Cypress Benefit Admin
Payer ID
88056
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Elmco
Payer ID
37253
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Med-Pay
Payer ID
88058
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier Patient Care IPA
Payer ID
PPCIP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Premier Physician Alliance
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Premier Physician Network
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Presbyterian Health Plan
Payer ID
05003
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Presbyterian Health Plan
Payer ID
PREHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Presbyterian Health Plan, Inc. (Magellan)
Payer ID
01260
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Presbyterian Salud (NM)
Payer ID
05003
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Presence ERC
Payer ID
46311
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Primary Care Associates Medical Group (PCAMG)
Payer ID
IP079
Payer ID
Transaction
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)
Primary Care & Pediatric IPA (PCP IPA)
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
PrimeCare Medical Group - Chino Valley
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PrimeCare Medical Network
Payer ID
IP079
Payer ID
Transaction
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)
PrimeCare Medical Network - Citrus Valley
Payer ID
IP079
Payer ID
Transaction
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)
Primecare Medical Network - San Bernardino
Payer ID
IP079
Payer ID
Transaction
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)
Prime Community Care Central Valley (MV Medical)
Payer ID
MVCV1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins.
Primewell Health Services
Payer ID
77701
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed with BCBSLA
Prime West Health Systems
Payer ID
61604
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Principal Financial Group Medicare Supplement (Vision Claims Only)
Payer ID
S1271
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Principal Mutual Life Insurance Co.
Payer ID
61271
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Priority Health
Payer ID
38217
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Professional Benefit Administrators, Inc.
Payer ID
36331
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer ID is valid only for claims with billing address of Professional Benefit Administrators, Inc. in Oak Brook, Illinois.
Progressive Medical Associates, Inc
Payer ID
PMAI2
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA sent automatically once claim submission begins
Prominence Health Plan
Payer ID
88029
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prominence Health Plan of Texas
Payer ID
80095
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under Prominence Health Plan
Prospect Health Services of Texas
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prospect Medical Group
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prospect Provider Group of Rhode Island
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prospect Sherman Oaks Medical Group
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Facility Claims
Payer ID
STJOE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (855)-359-6323
Providence Health Assurance Medicare Supplement
Payer ID
77525
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Health Plan
Payer ID
PHP01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Health Plan Powered by Collective Health
Payer ID
36481
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Risk & Insurance
Payer ID
PAS01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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​Provider Partners Health Plan of Illinois
Payer ID
31401
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Indiana
Payer ID
31407
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Maryland
Payer ID
31118
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Missouri
Payer ID
31404
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of North Carolina
Payer ID
31406
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Pennsylvania
Payer ID
31400
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Texas
Payer ID
31405
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners North Carolina Community Plan
Payer ID
31406
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pruitt Health Premier
Payer ID
PH001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PSKW
Payer ID
PSKW0
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PsycHealth Care Management LLC
Payer ID
A2797
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Public Employees Health Plan (PEHP)
Payer ID
SX106
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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A UHIN pass through fee applies to this transaction.
QCA Health Plan
Payer ID
35174
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QualCare (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For Health Net members only (at this time), effective 11/1/16 (Date of Service).
QualChoice Advantage
Payer ID
42172
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QualChoice Health Insurance
Payer ID
35174
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QualChoice of Arkansas
Payer ID
35174
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Quartz
Payer ID
39180
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Also known as Quartz ASO and Gundersen Health Plan
Quick Trip Corporation
Payer ID
73067
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Rady Children’s Health Network (RCHN)
Payer ID
RCHN1
Payer ID
Transaction
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.
Rady Childrens Hospital San Diego
Payer ID
RCHSD
Payer ID
Transaction
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.
Rady’s Children’s Specialists of San Diego
Payer ID
CSSD2
Payer ID
Transaction
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.
Ravenswood Physician Associates
Payer ID
RPAWC
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Redlands-Yucaipa Medical Group
Payer ID
18247
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Blue Cross Blue Shield - Oregon
Payer ID
00851
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Blue Shield - Idaho
Payer ID
00611
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Blue Shield of Washington State
Payer ID
00932
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Group Administrators (RGA)
Payer ID
RGA01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For Regence Group Administrator (RGA) claims, effective January 21, 2017.
Reliance Community Care Partners
Payer ID
79846
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Reserve National Insurance
Payer ID
73066
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Resurrection Physicians Group
Payer ID
RPPG1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Right Care from Scott & White
Payer ID
74205
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Rios Arizona IPA
Payer ID
RIOSA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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As soon as providers set up EFT the ERAs are turned on automatically. To set up EFT you may contact Rios Arizona IPA at 1-844-220-9222.
Rios Southwest Medical Group
Payer ID
RIOS1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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As soon as providers set up EFT, the ERAs are turned on automatically. To set up EFT, you may contact Rios Southwest Medical Group at 1-844-220-9222
RISRx
Payer ID
RISRX
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Rochester-Genesee Regional Transportation Authority
Payer ID
J4739
Payer ID
Transaction
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 enrollment needed.
Royal Neighbors of America Medicare Supplement
Payer ID
95720
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Sage Technologies
Payer ID
37105
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Saint Agnes Medical Group
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Saint Johns Health Clinic
Payer ID
STJOE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment is automatic.
Samaritan Advantage (SA01)
Payer ID
SAMHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Remittance Advice. Previously Payer ID CP001.
Samaritan Choice (SCP)
Payer ID
SAMHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Previously Payer ID SAMHP.
Samaritan Health Plans
Payer ID
SAMHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Previously payer ID CP001. Not the same as Samaritan Ministries. Do not use this payer ID for Samaritan Ministries.
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