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
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.
Physicians Health Network (PHN) MHCM2 835
Physicians Health Plan (PHP) - Global Care
Payer ID
07689
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - Global Care 07689 835
Physicians Health Plan (PHP) - Mid Michigan
Payer ID
37330
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - Mid Michigan 37330 835
Physicians Health Plan (PHP) - Northern Indiana
Payer ID
12399
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - Northern Indiana 12399 835
Physicians Health Plan (PHP) - South Michigan
Payer ID
37330
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - South Michigan 37330 835
Physicians Health Plan (PHP) - Sparrow
Payer ID
37330
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - Sparrow 37330 835
Physicians Healthways IPA
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Healthways IPA NMM01 835
Physicians Management Group
Payer ID
RCHN1
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.
Physicians Management Group RCHN1 835
Physicians Medical Group of San Jose
Payer ID
EXC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Optum Care Network.
Physicians Medical Group of San Jose EXC01 835
Physicians Mutual Insurance Company
Payer ID
47027
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Mutual Insurance Company 47027 835
Pie Insurance Services Inc. - CORVEL
Payer ID
J3755
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pie Insurance Services Inc. - CORVEL J3755 835
Pierce County WA - CORVEL
Payer ID
J3762
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.
Pierce County WA - CORVEL J3762 835
PIH Health (formerly Bright Health)
Payer ID
BHP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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enrollment required
PIH Health (formerly Bright Health) BHP01 835
Pinnacle Medical Group
Payer ID
95271
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pinnacle Medical Group 95271 835
Pinnacol Assurance
Payer ID
J4050
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.
Pinnacol Assurance J4050 835
Pioneer Provider Network
Payer ID
PPNZZ
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare and Commercial members only.
Pioneer Provider Network PPNZZ 835
Pittman and Associates (Now known as HealthSmart Benefit Solutions)
Payer ID
37224
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pittman and Associates (Now known as HealthSmart Benefit Solutions) 37224 835
Plan de Salud Menonita Vital
Payer ID
66063
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.
Plan de Salud Menonita Vital 66063 835
Planned Administrators, Inc. (PAI)
Payer ID
37287
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Planned Administrators, Inc. (PAI) 37287 835
PMG of San Jose
Payer ID
EXC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Optum Care Network.
PMG of San Jose EXC01 835
Point C/Mid-American Benefits
Payer ID
22823
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Mid-American Benefits
Point C/Mid-American Benefits 22823 835
Pomona Valley Medical Group
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pomona Valley Medical Group PROSP 835
Pool Administrators Oregon Professional Primary
Payer ID
PAOR1
Payer ID
Transaction
All
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 Primary PAOR1 835
Pool Administrators Oregon Professional Secondary
Payer ID
PAOR2
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment under Payer ID PAIOR02
Pool Administrators Oregon Professional Secondary PAOR2 835
EFT enrollment is required to receive Electronic Remittance Advice. Contact Preferred IPA provider relations for more information
Preferred IPA PFIPA 835
PreferredOne
Payer ID
41147
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PreferredOne 41147 835
Premera Blue Cross Blue Shield of Alaska
Payer ID
00430
Payer ID
Transaction
All
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 Blue Shield of Alaska 00430 835
Premera Blue Cross of Washington
Payer ID
00430
Payer ID
Transaction
All
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 00430 835
Premiercare Health Network
Payer ID
PHNPA
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.
Premiercare Health Network PHNPA 835
Premier Care of Northern California
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.
Premier Care of Northern California CAPMN 835
Premier Group Insurance - CORVEL
Payer ID
J3334
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.
Premier Group Insurance - CORVEL J3334 835
Premier HealthCare Exchange (PHX) - BMI Kansas
Payer ID
48611
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - BMI Kansas 48611 835
Premier HealthCare Exchange (PHX) - Commercial Travelers
Payer ID
88091
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Commercial Travelers 88091 835
Premier HealthCare Exchange (PHX) - Cypress Benefit Admin
Payer ID
88056
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Cypress Benefit Admin 88056 835
Premier HealthCare Exchange (PHX) - Elmco
Payer ID
37253
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Elmco 37253 835
Premier HealthCare Exchange (PHX) - Med-Pay
Payer ID
88058
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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Premier HealthCare Exchange (PHX) - Med-Pay 88058 835
Premier Physician Alliance
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.
Premier Physician Alliance CAPMN 835
Premier Physician Network
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.
Premier Physician Network CAPMN 835
Presbyterian Health Plan
Payer ID
PREHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Presbyterian Health Plan PREHP 835
Presbyterian Health Plan
Payer ID
05003
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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Presbyterian Health Plan 05003 835
Presbyterian Health Plan, Inc. (Magellan)
Payer ID
01260
Payer ID
Transaction
All
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 Health Plan, Inc. (Magellan) 01260 835
Presbyterian Intercommunity Hospital
Payer ID
BHP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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enrollment required
Presbyterian Intercommunity Hospital BHP01 835
Presbyterian Salud (NM)
Payer ID
05003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Presbyterian Salud (NM) 05003 835
Prescient National Insurance Service
Payer ID
J4095
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.
Prescient National Insurance Service J4095 835
Presence ERC
Payer ID
46311
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Presence ERC 46311 835
Primary Care Associates Medical Group (PCAMG)
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)
Primary Care Associates Medical Group (PCAMG) IP079 835
Primary Care & Pediatric IPA (PCP IPA)
Payer ID
CAPMN
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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ERA enrollment under Conifer Health Solutions.
Primary Care & Pediatric IPA (PCP IPA) CAPMN 835
PrimeCare Medical Group - Chino Valley
Payer ID
PROSP
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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PrimeCare Medical Group - Chino Valley PROSP 835
PrimeCare Medical Network
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)
PrimeCare Medical Network IP079 835
PrimeCare Medical Network - Citrus 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)
PrimeCare Medical Network - Citrus Valley IP079 835
Primecare Medical Network - San Bernardino
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)
Primecare Medical Network - San Bernardino IP079 835
Prime Community Care Central Valley (MV Medical)
Payer ID
MVCV1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
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Payer returns ERA's automatically once electronic claim submission begins.
Prime Community Care Central Valley (MV Medical) MVCV1 835
Prime Health Golden Pear
Payer ID
J4171
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
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Payer returns ERAs 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.
Prime Health Golden Pear J4171 835
Prime West Health Systems
Payer ID
61604
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prime West Health Systems 61604 835
Principal Financial Group Medicare Supplement (Vision Claims Only)
Payer ID
S1271
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Principal Financial Group Medicare Supplement (Vision Claims Only) S1271 835
Principal Mutual Life Insurance Co.
Payer ID
61271
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Principal Mutual Life Insurance Co. 61271 835
Priority Health
Payer ID
38217
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Priority Health 38217 835
Professional Benefit Administrators, Inc.
Payer ID
36331
Payer ID
Transaction
All
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.
Professional Benefit Administrators, Inc. 36331 835
Progressive Casualty Insurance Company
Payer ID
J3692
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.
Progressive Casualty Insurance Company J3692 835
Progressive Classic Insurance Company
Payer ID
J1788
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Progressive Classic Insurance Company J1788 835
Progressive Commercial Casualty Company
Payer ID
J1779
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Progressive Commercial Casualty Company J1779 835
Progressive Direct Insurance Company
Payer ID
J1780
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Progressive Direct Insurance Company J1780 835
Progressive Insurance
Payer ID
J1748
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.
Progressive Insurance J1748 835
Progressive Max Insurance Company
Payer ID
J1783
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Progressive Max Insurance Company J1783 835
Progressive Medical Associates, Inc
Payer ID
PMAI2
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA sent automatically once claim submission begins
Progressive Medical Associates, Inc PMAI2 835
Progressive Northern Insurance Company
Payer ID
J1786
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.
Progressive Northern Insurance Company J1786 835
Progressive Northwestern Insurance Company
Payer ID
J1787
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.
Progressive Northwestern Insurance Company J1787 835
Progressive Preferred Insurance Company
Payer ID
J1785
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.
Progressive Preferred Insurance Company J1785 835
Progressive Premier Insurance Company
Payer ID
J1781
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.
Progressive Premier Insurance Company J1781 835
Progressive Specialty Insurance Company
Payer ID
J1784
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.
Progressive Specialty Insurance Company J1784 835
Prominence Health Plan
Payer ID
88029
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prominence Health Plan 88029 835
Prominence Health Plan of Texas
Payer ID
80095
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under Prominence Health Plan
Prominence Health Plan of Texas 80095 835
Prospect Health Services of Texas
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prospect Health Services of Texas PROSP 835
Prospect Medical Group
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prospect Medical Group PROSP 835
Prospect Provider Group of Rhode Island
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prospect Provider Group of Rhode Island PROSP 835
Prospect Sherman Oaks Medical Group
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prospect Sherman Oaks Medical Group PROSP 835
Providence Facility Claims
Payer ID
STJOE
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.
Providence Facility Claims STJOE 835
Providence Health Assurance Medicare Supplement
Payer ID
77525
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Health Assurance Medicare Supplement 77525 835
Providence Health Plan
Payer ID
PHP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Health Plan PHP01 835
Providence Health Plan Powered by Collective Health
Payer ID
36481
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Health Plan Powered by Collective Health 36481 835
Providence Risk & Insurance
Payer ID
PAS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Risk & Insurance PAS01 835
Provider Partners Health Plan of Illinois
Payer ID
31401
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Illinois 31401 835
Provider Partners Health Plan of Indiana
Payer ID
31407
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Indiana 31407 835
Provider Partners Health Plan of Maryland
Payer ID
31118
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Maryland 31118 835
Provider Partners Health Plan of Missouri
Payer ID
31404
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Missouri 31404 835
Provider Partners Health Plan of North Carolina
Payer ID
31406
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of North Carolina 31406 835
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Pennsylvania 31400 835
