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
Provider Partners Health Plan of Texas
Payer ID
31405
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 Texas 31405 835
Provider Partners Missouri Community Plan (HMO I-SNP)
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 Missouri Community Plan (HMO I-SNP) 31404 835
Provider Partners North Carolina Community Plan
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 North Carolina Community Plan 31406 835
Pruitt Health Premier
Payer ID
PH001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pruitt Health Premier PH001 835
PSKW
Payer ID
PSKW0
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PSKW PSKW0 835
PsycHealth Care Management LLC
Payer ID
A2797
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PsycHealth Care Management LLC A2797 835
Public Employees Health Plan (PEHP)
Payer ID
SX106
Payer ID
Transaction
All
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.
Public Employees Health Plan (PEHP) SX106 835
Public Employers Risk Management Authority (PERMA)
Payer ID
J1623
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.
Public Employers Risk Management Authority (PERMA) J1623 835
Public WC Program
Payer ID
J3949
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.
Public WC Program J3949 835
Publix Super Markets, Inc.
Payer ID
J1897
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.
Publix Super Markets, Inc. J1897 835
Puget Sound Benefits Trust, Group# F25
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'
Puget Sound Benefits Trust, Group# F25 91136 835
Puget Sound Electrical Workers Trust, Group# F33
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'
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.
QBE - General Casualty - Sun Prairie J1489 835
QCA Health Plan
Payer ID
35174
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QCA Health Plan 35174 835
QualCare (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
All
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).
QualCare (Managed Care Systems) MCS03 835
QualChoice Advantage
Payer ID
42172
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QualChoice Advantage 42172 835
QualChoice Health Insurance
Payer ID
35174
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QualChoice Health Insurance 35174 835
QualChoice of Arkansas
Payer ID
35174
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QualChoice of Arkansas 35174 835
Quartz
Payer ID
39180
Payer ID
Transaction
All
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
Quartz 39180 835
Quick Trip Corporation
Payer ID
73067
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Quick Trip Corporation 73067 835
Rady Children’s Health Network (RCHN)
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.
Rady Children’s Health Network (RCHN) RCHN1 835
Rady Childrens Hospital San Diego
Payer ID
RCHSD
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.
Rady Childrens Hospital San Diego RCHSD 835
Rady’s Children’s Specialists of San Diego
Payer ID
CSSD2
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.
Rady’s Children’s Specialists of San Diego CSSD2 835
Raleys Family of Fine Stores - CORVEL
Payer ID
J1522
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.
Raleys Family of Fine Stores - CORVEL J1522 835
Rampart Insurance Company
Payer ID
38512
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.
Rampart Insurance Company 38512 835
Ramsey County (MN)
Payer ID
J1663
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.
Ramsey County (MN) J1663 835
Ravenswood Physician Associates
Payer ID
RPAWC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Ravenswood Physician Associates RPAWC 835
Recreational Equipment Inc. - CORVEL
Payer ID
J3763
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.
Recreational Equipment Inc. - CORVEL J3763 835
Redlands-Yucaipa Medical Group
Payer ID
18247
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Redlands-Yucaipa Medical Group 18247 835
Red Oak Independent School District
Payer ID
A0205
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.
Red Oak Independent School District A0205 835
Regence Blue Cross Blue Shield - Oregon
Payer ID
00851
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Blue Cross Blue Shield - Oregon 00851 835
Regence Blue Shield - Idaho
Payer ID
00611
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Blue Shield - Idaho 00611 835
Regence Blue Shield of Washington State
Payer ID
00932
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Blue Shield of Washington State 00932 835
Regence Group Administrators (RGA)
Payer ID
RGA01
Payer ID
Transaction
All
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.
Regence Group Administrators (RGA) RGA01 835
Region 8 Esc
Payer ID
J3950
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.
Region 8 Esc J3950 835
Reliance Community Care Partners
Payer ID
79846
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Reliance Community Care Partners 79846 835
Republic Franklin Insurance
Payer ID
12475
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.
Republic Franklin Insurance 12475 835
Reserve National Insurance
Payer ID
73066
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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
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Resurrection Physicians Group RPPG1 835
Retail Business Services (RBS)
Payer ID
J3733
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.
Retail Business Services (RBS) J3733 835
Retro Insulation INC
Payer ID
J3870
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.
Retro Insulation INC J3870 835
Return to Work
Payer ID
J1202
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.
Return to Work J1202 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
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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
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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.
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
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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 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
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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
Rios Southwest Medical Group RIOS1 835
RISRx
Payer ID
RISRX
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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RISRx RISRX 835
Riverport Insurance (MN School Board Association)
Payer ID
J1546
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View 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.
Riverport Insurance (MN School Board Association) J1546 835
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.
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.
Root Insurance J4304 835
Roseburg Forest Products - CORVEL
Payer ID
J3751
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.
Roseburg Forest Products - CORVEL J3751 835
Royal Neighbors of America Medicare Supplement
Payer ID
95720
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.
Royal Neighbors of America Medicare Supplement 95720 835
SafeCo Insurance
Payer ID
24740
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.
SafeCo Insurance 24740 835
Safeco Insurance (Auto Only
Payer ID
C1053
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.
Safeco Insurance (Auto Only C1053 835
Safe TPA
Payer ID
J3770
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.
Safe TPA J3770 835
Safety National - Guaranteed Cost
Payer ID
J3021
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; however, an active ERA Delivery Change Form must be on file to retrieve ERA files
Safety National - Guaranteed Cost J3021 835
Sage Program
Payer ID
MNDH1
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.
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
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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
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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
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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.
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
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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
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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
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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
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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
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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
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Sana Benefits 50114 835
San Diego/Imperial Schools JPA (CA)
Payer ID
J1656
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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San Diego/Imperial Schools JPA (CA) J1656 835
San Diego PACE
Payer ID
96400
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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
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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
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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
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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
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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
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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
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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
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Santa Clara Family Health Plan (SCFHP) 24077 835
Savage Services - CORVEL
Payer ID
J3752
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.
Savage Services - CORVEL J3752 835
Save Mart - CORVEL
Payer ID
J2346
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.
Save Mart - CORVEL J2346 835
SBLI Life Medicare Supplement
Payer ID
95721
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. 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
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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
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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
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Effective 10/1/2022.
SCCIPA VHP Covered California VHPCA 835
Scottsdale Insurance Co E&S
Payer ID
C1079
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.
Scottsdale Insurance Co E&S C1079 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
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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
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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
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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
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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
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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
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Scripps Medical Plan (Aetna) 60054 835
Seabright (SBIC)
Payer ID
J1499
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.
Seabright (SBIC) J1499 835
Seaview IPA
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).
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
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ERA Enrollments found under "MedCost Benefit Services"
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.
