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
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
Nova Saiph Re
Payer ID
J3881
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.
Nova Saiph Re J3881 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
N.W. Ironworkers Health & Security Trust Fund, Group # F15
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'
N.W. Ironworkers Health & Security Trust Fund, Group # F15 91136 835
Enrollment form under 'Welfare Pension Administration Services'
N.W. Textile Processors Group # F14 91136 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
Oceans Acquisition, Inc. - CORVEL
Payer ID
J3754
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.
Oceans Acquisition, Inc. - CORVEL J3754 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 Casualty Insurance
Payer ID
24074
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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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.
Ohio Casualty Insurance 24074 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
View note
Hide note
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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 Republic Insurance Company
Payer ID
24147
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.
Old Republic Insurance Company 24147 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
Omaha National
Payer ID
J3805
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.
Omaha National J3805 835
OMNI Healthcare Financial, LLC DBA The Trio Solution
Payer ID
J4548
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 for rejected claims only. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
OMNI Healthcare Financial, LLC DBA The Trio Solution J4548 835
One Beacon
Payer ID
20621
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.
One Beacon 20621 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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Hide note
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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
Operating Engineers Locals 302 & 612 Health & Security Fund, Group # F12
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'
Operating Engineers Locals 302 & 612 Health & Security Fund, Group # F12 91136 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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Hide note
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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
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.
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
View note
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
View 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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Hide note
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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
View note
Hide note
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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
Hide note
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
Hide note
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
Hide note
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–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
Hide note
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
View note
Hide note
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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
Oregon State Accident Insurance Fund (SAIF) Corporation
Payer ID
J1720
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.
Oregon State Accident Insurance Fund (SAIF) Corporation J1720 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
View note
Hide note
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
Hide note
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
Hide note
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
Hide note
Pacific IPA NMM01 835
Pacific IPA - Lancaster
Payer ID
PFCIP
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.
Pacific IPA - Lancaster PFCIP 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
Hide note
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
Hide note
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
Hide note
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
Hide note
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
Paladin Managed Care Services, Inc.
Payer ID
J1475
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.
Paladin Managed Care Services, Inc. J1475 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
Hide note
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
Hide note
Pan American Life Insurance Group 04218 835
Paradigm
Payer ID
J1001
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.
Paradigm J1001 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
Hide note
Paramount Health Care PARHC 835
Park District Risk Management Association (PDRMA)
Payer ID
J1365
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.
Park District Risk Management Association (PDRMA) J1365 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
View note
Hide note
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
Hide note
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
Hide note
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
Hide note
View note
Hide note
(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
View note
Hide note
View note
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ERA enrollment under Conifer Health Solutions.
Pasadena Primary Care Physicians Group CAPMN 835
Pasco County BOCC
Payer ID
J3913
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.
Pasco County BOCC J3913 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
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Patient Advocates LLC 55489 835
Paychex Inc
Payer ID
J4726
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.
Paychex Inc J4726 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
Peerless Insurance
Payer ID
J1423
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.
Peerless Insurance J1423 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
Penn National Insurance
Payer ID
J3903
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.
Penn National Insurance J3903 835
Penn National Insurance - Auto
Payer ID
C1076
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.
Penn National Insurance - Auto C1076 835
Performance Food Group - CORVEL
Payer ID
J2390
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.
Performance Food Group - CORVEL J2390 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
PFIZER Inc
Payer ID
J4727
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.
PFIZER Inc J4727 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.
