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
Reliance Community Care Partners
Payer ID
79846
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Reliance Community Care Partners 79846 835
Reserve National Insurance
Payer ID
73066
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Reserve National Insurance 73066 835
Resurrection Physicians Group
Payer ID
RPPG1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Resurrection Physicians Group RPPG1 835
Right Care from Scott & White
Payer ID
74205
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Right Care from Scott & White 74205 835
RINCON Health Network
Payer ID
RHN01
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.
RINCON Health Network RHN01 835
Rios Arizona IPA
Payer ID
RIOSA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
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 Arizona IPA RIOSA 835
Rios Southwest Medical Group
Payer ID
RIOS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
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
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.
Royal Neighbors of America Medicare Supplement 95720 835
Sage Program
Payer ID
MNDH1
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.
Sage Program MNDH1 835
Sage Technologies
Payer ID
37105
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Sage Technologies 37105 835
Saint Agnes Medical Group
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
Hide note
ERA enrollment under Conifer Health Solutions.
Saint Agnes Medical Group CAPMN 835
Saint Johns Health Clinic
Payer ID
STJOE
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 is automatic.
Saint Johns Health Clinic STJOE 835
Samaritan Advantage (SA01)
Payer ID
SAMHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Remittance Advice. Previously Payer ID CP001.
Samaritan Advantage (SA01) SAMHP 835
Samaritan Choice (SCP)
Payer ID
SAMHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Previously Payer ID SAMHP.
Samaritan Choice (SCP) SAMHP 835
Samaritan Health Plans
Payer ID
SAMHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Previously payer ID CP001. Not the same as Samaritan Ministries. Do not use this payer ID for Samaritan Ministries.
Samaritan Health Plans SAMHP 835
Samaritan Healthy Kids (KID)
Payer ID
SAMHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Remittance Advice. Previously Payer ID CP001.
Samaritan Healthy Kids (KID) SAMHP 835
SAMBA HEALTH BENEFIT PLAN
Payer ID
SAMBA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Enrollment completed under Payer ID 'SAMBA'
SAMBA HEALTH BENEFIT PLAN SAMBA 835
Sana Benefits
Payer ID
50114
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Sana Benefits 50114 835
San Diego PACE
Payer ID
96400
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 upon claim submission. If you were previously receiving ERAs from another clearinghouse, email EDIGatewayServices@VisibilEDI.com and ask ERAs be returned to Office Ally.
San Diego PACE 96400 835
Sanford Health Plan
Payer ID
91184
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Sanford Health Plan 91184 835
San Francisco Electrical Workers - IBEW Local 6
Payer ID
BS001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
They will have a prefix code of "XEL" as their member ID on the BSC card.
San Francisco Electrical Workers - IBEW Local 6 BS001 835
San Francisco Health Plan
Payer ID
SFHP1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
San Francisco Health Plan SFHP1 835
Santa Barbara Select IPA
Payer ID
SBIPA
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 will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Santa Barbara Select IPA SBIPA 835
Santa Clara County IPA HMO
Payer ID
10378
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Santa Clara County IPA HMO 10378 835
Santa Clara County IPA PPO
Payer ID
SCACO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Santa Clara County IPA PPO SCACO 835
Santa Clara Family Health Plan (SCFHP)
Payer ID
24077
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Santa Clara Family Health Plan (SCFHP) 24077 835
SBLI Life Medicare Supplement
Payer ID
95721
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 only payer - IAS Admin Payer. Enrollment is completed under Prosperity Life Group.
SBLI Life Medicare Supplement 95721 835
Scan Health Plan
Payer ID
SCAN1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Scan Health Plan SCAN1 835
SCCIPA Anthem PPO
Payer ID
SCACO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
SCCIPA Anthem PPO SCACO 835
SCCIPA VHP Covered California
Payer ID
VHPCA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Effective 10/1/2022.
SCCIPA VHP Covered California VHPCA 835
Scott & White Health Care Plan
Payer ID
88030
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 is under 'Baylor Scott and White Health Care Plan'
Scott & White Health Care Plan 88030 835
Scripps Clinic
Payer ID
SHPS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Scripps Clinic SHPS1 835
Scripps Coastal Medical Center
Payer ID
SHPS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Scripps Coastal Medical Center SHPS1 835
Scripps Health Plan MSO
Payer ID
SHPM1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Scripps Health Plan MSO SHPM1 835
Scripps Health Plan Services
Payer ID
SHPS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Scripps Health Plan Services SHPS1 835
Scripps Medical Plan (Aetna)
Payer ID
60054
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Scripps Medical Plan (Aetna) 60054 835
Seaview IPA
Payer ID
SVIPA
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 will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Seaview IPA SVIPA 835
Secure Health Plans of Georgia, LLC
Payer ID
56162
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 Enrollments found under "MedCost Benefit Services"
claims are to be submitted to Wellcare payer id 14163 and EFT/ERA for Wellcare is available through Payspan under payer ID 14163.
SelectCare of Texas (HPN - Heritage Physicians) 76045 835
Select Health of South Carolina
Payer ID
23285
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Select Health of South Carolina 23285 835
Select Health of Utah
Payer ID
SX107
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
A UHIN pass through fee applies to this transaction.
Select Health of Utah SX107 835
Self Insured Plans
Payer ID
36404
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Naples, FL.
Self Insured Plans 36404 835
Self Insured Services Company (SISCO)
Payer ID
44827
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Self Insured Services Company (SISCO) 44827 835
Senior Network Health
Payer ID
15682
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Senior Network Health 15682 835
Senior Whole Health Massachusetts
Payer ID
SWHMA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Effective 1/1/2022. Enrollment completed under 'Molina Healthcare'
Senior Whole Health Massachusetts SWHMA 835
Senior Whole Health New York (MLTC Only)
Payer ID
SWHNY
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
For DOS 4/1/2021 and forward. Enrollment completed under 'Molina Healthcare'
Senior Whole Health New York (MLTC Only) SWHNY 835
Sentara Family Plan / Sentara Health Management
Payer ID
54154
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Sentara Family Plan / Sentara Health Management 54154 835
Sentara Mental Health Professional
Payer ID
5415M
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 Optima/Sentara
Sentara Mental Health Professional 5415M 835
Sequoia Health IPA
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
Hide note
ERA enrollment under Conifer Health Solutions.
Sequoia Health IPA CAPMN 835
Sharp Community Medical Group
Payer ID
SCMG1
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.
Sharp Community Medical Group SCMG1 835
Sharp Health Plan
Payer ID
SHP01
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.
Sharp Health Plan SHP01 835
Sharp Rees-Stealy Medical Group
Payer ID
SRS83
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.
Sharp Rees-Stealy Medical Group SRS83 835
Shasta Administrative Services
Payer ID
75280
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Shasta Administrative Services 75280 835
SHC Advantage
Payer ID
46407
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
SHC Advantage 46407 835
Shenandoah Life Medicare Supplement
Payer ID
95721
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 only payer - IAS Admin Payer. Enrollment is completed under Prosperity Life Group.
Shenandoah Life Medicare Supplement 95721 835
Sidecar Health
Payer ID
SDCAR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Sidecar Health SDCAR 835
SIEBA, LTD
Payer ID
03699
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
SIEBA, LTD 03699 835
Sierra Health and Life (Claims)
Payer ID
76342
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
California and Nevada. For encounters, use payer ID 76343. InstaMed enrollment under payer ID 71420
Sierra Health and Life (Claims) 76342 835
Signature Advantage
Payer ID
SA001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Signature Advantage SA001 835
SilverSummit Healthplan (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.
SilverSummit Healthplan (Centene) 68069 835
Simply Health Care Plan
Payer ID
SMPLY
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Formerly payer ID 27094.
Simply Health Care Plan SMPLY 835
SIMPRA Advantage
Payer ID
SIM02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
SIMPRA Advantage SIM02 835
SISCO Benefits
Payer ID
44827
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
SISCO Benefits 44827 835
SKAI Blue Cross Blue Shield
Payer ID
BSKAI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
SKAI Blue Cross Blue Shield BSKAI 835
Smoky Mountain Center (now Vaya Health)
Payer ID
13010
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's are activated as soon as the provider is approved for EDI submissions.
Smoky Mountain Center (now Vaya Health) 13010 835
Snedeker Risk Management
Payer ID
A7637
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Snedeker Risk Management A7637 835
Solis Health Plans
Payer ID
SOLIS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Solis Health Plans SOLIS 835
SOMOS Anthem New York
Payer ID
81508
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
SOMOS Anthem New York 81508 835
SOMOS Emblem
Payer ID
81336
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
SOMOS Emblem 81336 835
Sound Health & Wellness Trust (Aetna)
Payer ID
60054
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Sound Health & Wellness Trust (Aetna) 60054 835
Soundpath Health (formerly known as Puget Sound Health Partners)
Payer ID
42172
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Soundpath Health (formerly known as Puget Sound Health Partners) 42172 835
South Atlantic Medical Group
Payer ID
SAMG1
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.
South Atlantic Medical Group SAMG1 835
South Country Health Alliance
Payer ID
81600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
South Country Health Alliance 81600 835
Southeastern Indiana Health (SIHO)
Payer ID
77153
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Southeastern Indiana Health (SIHO) 77153 835
South Florida Community Care Network - SFCCN (Commercial)
Payer ID
59064
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Commercial) 59064 835
South Florida Community Care Network - SFCCN (Medicaid)
Payer ID
59065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Medicaid) 59065 835
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Southwest Oregon IPA (DOCS) DOCSO 835
Spina Bifida - VA HAC
Payer ID
84146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Spina Bifida - VA HAC 84146 835
S & S Healthcare Strategies
Payer ID
31441
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
S & S Healthcare Strategies 31441 835
Starmark
Payer ID
61425
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Starmark 61425 835
State Farm Insurance Company
Payer ID
31059
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
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. A UHIN pass through fee applies to this transaction.
State Farm Insurance Company 31059 835
State Farm Property & Casualty
Payer ID
31059
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Note: To submit WC or Auto claims with Attachments please use payer ID J1548 located exclusively on our WC payer list. If submitting without attachments please continue to use 31059. A UHIN pass through fee applies to this transaction.
State Farm Property & Casualty 31059 835
State Health Plan of North Carolina
Payer ID
SB810
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
(Same form as BCBS North Carolina).
State Health Plan of North Carolina SB810 835
State of Texas Dental Plan (GEHA)
Payer ID
57254
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
State of Texas Dental Plan (GEHA) 57254 835
Staywell Health Plan
Payer ID
14163
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 instructions can be found under WellCare Health Plan
Staywell Health Plan 14163 835
St. Francis IPA
Payer ID
APP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Please use the enrollment form located under Optum Care Network.
St. Francis IPA APP01 835
St. Johns Health Clinic
Payer ID
STJOE
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 is automatic.
St. Johns Health Clinic STJOE 835
St. Joseph Heritage Healthcare
Payer ID
STJOE
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 is automatic.
St. Joseph Heritage Healthcare STJOE 835
St. Joseph Heritage Medical Group
Payer ID
STJOE
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 is automatic.
St. Joseph Heritage Medical Group STJOE 835
St Lukes Health Plan Inc
Payer ID
92170
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
St Lukes Health Plan Inc 92170 835
St Mary's IPA
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
Hide note
ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 835
Student Resources (UnitedHealthcare)
Payer ID
74227
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
EFT enrollment is required in order to activate ERAs.
