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
Selective
Payer ID
12572
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.
Selective 12572 835
Self Insured Plans
Payer ID
36404
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Naples, FL.
Self Insured Plans 36404 835
Self-Insured Schools of California (SISC)
Payer ID
J1520
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.
Self-Insured Schools of California (SISC) J1520 835
Self Insured Services Company (SISCO)
Payer ID
44827
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Self Insured Services Company (SISCO) 44827 835
Senior Network Health
Payer ID
15682
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Senior Network Health 15682 835
Senior Whole Health Massachusetts
Payer ID
SWHMA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/2022. Enrollment completed under 'Molina Healthcare'
Senior Whole Health Massachusetts SWHMA 835
Senior Whole Health New York (MLTC Only)
Payer ID
SWHNY
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS 4/1/2021 and forward. Enrollment completed under 'Molina Healthcare'
Senior Whole Health New York (MLTC Only) SWHNY 835
Sentara Family Plan / Sentara Health Management
Payer ID
54154
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sentara Family Plan / Sentara Health Management 54154 835
Sentara Mental Health Professional
Payer ID
5415M
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Optima/Sentara
Sentara Mental Health Professional 5415M 835
Sentry Select Insurance Company
Payer ID
J1417
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.
Sentry Select Insurance Company J1417 835
Sequoia Health IPA
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.
Sequoia Health IPA CAPMN 835
Service Lloyds Insurance Co
Payer ID
J1593
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.
Service Lloyds Insurance Co J1593 835
Sharp Community Medical Group
Payer ID
SCMG1
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.
Sharp Community Medical Group SCMG1 835
Sharp Health Plan
Payer ID
SHP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
Sharp Health Plan SHP01 835
Sharp Rees-Stealy Medical Group
Payer ID
SRS83
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
Sharp Rees-Stealy Medical Group SRS83 835
Shasta Administrative Services
Payer ID
75280
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Shasta Administrative Services 75280 835
SHC Advantage
Payer ID
46407
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SHC Advantage 46407 835
Sheltered Workshop Insurance Of Missouri - CORVEL
Payer ID
J2282
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.
Sheltered Workshop Insurance Of Missouri - CORVEL J2282 835
Shenandoah 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.
Shenandoah Life Medicare Supplement 95721 835
Sidecar Health
Payer ID
SDCAR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sidecar Health SDCAR 835
SIEBA, LTD
Payer ID
03699
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SIEBA, LTD 03699 835
Sierra Health and Life (Claims)
Payer ID
76342
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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California and Nevada. For encounters, use payer ID 76343. InstaMed enrollment under payer ID 71420
Sierra Health and Life (Claims) 76342 835
Signature Advantage
Payer ID
SA001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Signature Advantage SA001 835
SilverSummit Healthplan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Centene Corporation.
SilverSummit Healthplan (Centene) 68069 835
Simply Health Care Plan
Payer ID
SMPLY
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly payer ID 27094.
Simply Health Care Plan SMPLY 835
SIMPRA Advantage
Payer ID
SIM02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SIMPRA Advantage SIM02 835
SISCO Benefits
Payer ID
44827
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SISCO Benefits 44827 835
SKAI Blue Cross Blue Shield
Payer ID
BSKAI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SKAI Blue Cross Blue Shield BSKAI 835
Smoky Mountain Center (now Vaya Health)
Payer ID
13010
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
Smoky Mountain Center (now Vaya Health) 13010 835
Snedeker Risk Management
Payer ID
A7637
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Snedeker Risk Management A7637 835
Solis Health Plans
Payer ID
SOLIS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Solis Health Plans SOLIS 835
SOMOS Anthem New York
Payer ID
81508
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SOMOS Anthem New York 81508 835
SOMOS Emblem
Payer ID
81336
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SOMOS Emblem 81336 835
Sound Health & Wellness Trust (Aetna)
Payer ID
60054
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sound Health & Wellness Trust (Aetna) 60054 835
Soundpath Health (formerly known as Puget Sound Health Partners)
Payer ID
42172
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Soundpath Health (formerly known as Puget Sound Health Partners) 42172 835
South Atlantic Medical Group
Payer ID
SAMG1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
South Atlantic Medical Group SAMG1 835
South Country Health Alliance
Payer ID
81600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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South Country Health Alliance 81600 835
Southeastern Indiana Health (SIHO)
Payer ID
77153
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Southeastern Indiana Health (SIHO) 77153 835
South Florida Community Care Network - SFCCN (Commercial)
Payer ID
59064
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Commercial) 59064 835
South Florida Community Care Network - SFCCN (Medicaid)
Payer ID
59065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Medicaid) 59065 835
South Plains School WC Program
Payer ID
J3951
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.
South Plains School WC Program J3951 835
Southwest Key - CORVEL
Payer ID
J3745
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.
Southwest Key - CORVEL J3745 835
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Southwest Oregon IPA (DOCS) DOCSO 835
Space Exploration Technologies Corp - CORVEL
Payer ID
J1990
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.
Space Exploration Technologies Corp - CORVEL J1990 835
Spina Bifida - VA HAC
Payer ID
84146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Spina Bifida - VA HAC 84146 835
SPNet Integra Group
Payer ID
J4041
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.
SPNet Integra Group J4041 835
Spruce Grove Inc - CORVEL
Payer ID
J3749
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.
Spruce Grove Inc - CORVEL J3749 835
S & S Healthcare Strategies
Payer ID
31441
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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S & S Healthcare Strategies 31441 835
StandardHealth with Health Choice (HCS)
Payer ID
RP105
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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StandardHealth with Health Choice (HCS) RP105 835
Starmark
Payer ID
61425
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Starmark 61425 835
STARR Companies
Payer ID
J4724
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.
STARR Companies J4724 835
STARR Risk Management General Casualty
Payer ID
J4725
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.
STARR Risk Management General Casualty J4725 835
State Auto Mutual Insurance Company
Payer ID
J1966
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.
State Auto Mutual Insurance Company J1966 835
State Farm Insurance Company
Payer ID
31059
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric, for WC claims and claims with attachments use Payer ID J1548. A UHIN pass through fee applies to this transaction.
State Farm Insurance Company 31059 835
State Farm Property & Casualty
Payer ID
31059
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Note: To submit WC or Auto claims with Attachments please use payer ID J1548 located exclusively on our WC payer list. If submitting without attachments please continue to use 31059. A UHIN pass through fee applies to this transaction.
State Farm Property & Casualty 31059 835
State Fund Mutual Insurance
Payer ID
J1553
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.
State Fund Mutual Insurance J1553 835
State Health Plan of North Carolina
Payer ID
SB810
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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(Same form as BCBS North Carolina).
State Health Plan of North Carolina SB810 835
State Of Tennessee - CORVEL
Payer ID
J2267
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.
State Of Tennessee - CORVEL J2267 835
State of Texas Dental Plan (GEHA)
Payer ID
57254
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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State of Texas Dental Plan (GEHA) 57254 835
Staywell Health Plan
Payer ID
14163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment instructions can be found under WellCare Health Plan
Staywell Health Plan 14163 835
St. Francis IPA
Payer ID
APP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please use the enrollment form located under Optum Care Network.
St. Francis IPA APP01 835
St. Johns Health Clinic
Payer ID
STJOE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
St. Johns Health Clinic STJOE 835
St. Joseph Heritage Healthcare
Payer ID
STJOE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
St. Joseph Heritage Healthcare STJOE 835
St. Joseph Heritage Medical Group
Payer ID
STJOE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
St. Joseph Heritage Medical Group STJOE 835
St Lukes Health Plan Inc
Payer ID
92170
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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St Lukes Health Plan Inc 92170 835
St Mary's IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 835
Student Resources (UnitedHealthcare)
Payer ID
74227
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EFT enrollment is required in order to activate ERAs.
Student Resources (UnitedHealthcare) 74227 835
St. Vincent IPA
Payer ID
PDT01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Form can be found under "Physicians Data Trust".
St. Vincent IPA PDT01 835
Style Crest Enterprise
Payer ID
J3880
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.
Style Crest Enterprise J3880 835
Sulphur Bluff ISD
Payer ID
J3952
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.
Sulphur Bluff ISD J3952 835
Summacare Health Plan (HMO)
Payer ID
95202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Summacare Health Plan (HMO) 95202 835
Summit Administration Services, Inc.
Payer ID
86083
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Summit Administration Services, Inc. 86083 835
Summit Community Care
Payer ID
PASSE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Summit Community Care PASSE 835
Summit Holdings
Payer ID
J1437
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.
Summit Holdings J1437 835
Sunflower State (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.
Sunflower State (Centene) 68069 835
Sun Life Financial (United Concordia)
Payer ID
89070
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sun Life Financial (United Concordia) 89070 835
Sunshine 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.
Sunshine State Health Plan (Centene) 68069 835
Superior Choice Medical Group
Payer ID
SCPR1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective for DOS 1/1/2020.
Superior Choice Medical Group SCPR1 835
Superior 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.
Superior Health Plan (Centene) 68069 835
Surest Health Plan
Payer ID
25463
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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formerly known as Bind
Surest Health Plan 25463 835
S. USA 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.
S. USA Life Medicare Supplement 95721 835
Sussex Insurance Company
Payer ID
J1829
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.
Sussex Insurance Company J1829 835
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sutter Connect - East Bay Region Hospitals - B&T SC051 835
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 835
Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sutter Connect - Palo Alto Medical Foundation SC050 835
Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Claims/Encounters
Sutter Connect - Sutter Gould Medical Foundation (SGMF) SC003 835
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 835
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 835
Sutter East Bay Medical Foundation
Payer ID
SC020
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sutter East Bay Medical Foundation SC020 835
Sutter Senior Care
Payer ID
SC028
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sutter Senior Care SC028 835
Tawa Services, Inc. - CORVEL
Payer ID
J3750
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.
Tawa Services, Inc. - CORVEL J3750 835
Taylor Benefit Resource
Payer ID
TAYLR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Taylor Benefit Resource TAYLR 835
TennCare Select/ BlueCare
Payer ID
00890
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment Forms are the same as those for BCBS TN. Typically if enrolled with BCBS TN, the provider will not need to enroll for Medicaid TN/TennCare. Contact the payer directly to confirm if pre-enrollment is required.
TennCare Select/ BlueCare 00890 835
Texas Association of School Boards
Payer ID
A0234
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.
Texas Municipal League - Intergovernmental Risk Pool
Payer ID
A0245
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.
Texas Municipal League - Intergovernmental Risk Pool A0245 835
Texas Mutual Insurance
Payer ID
22945
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.
Texas Mutual Insurance 22945 835
Texas Roadhouse, Inc.
Payer ID
J1676
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.
