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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
Clear Spring Health
Payer ID
85468
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Clinica Medica San Miguel
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Clinicas del Camino Real
Payer ID
CDCR1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Clover Health (formerly CarePoint Health Plan)
Payer ID
13285
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Co-ordinated Benefit Plans LLC
Payer ID
14829
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CoachellaMed
Payer ID
COMG1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Coastal Administrative Services
Payer ID
77052
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Coastal Care Services
Payer ID
47394
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Coastal Communities Physician Network (CCPN) (Regal)
Payer ID
CCPN1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Email :providerrelations@bfmc.com and Call 661-616-9379 in order receive ERAs.
Coastal TPA
Payer ID
77052
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Colonial Penn
Payer ID
37077
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Colorado Access
Payer ID
COACC
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Colorado Community Health Alliance
Payer ID
COCHA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Colorado Kaiser Permanente
Payer ID
91617
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Kaiser Foundation Health Plan of Colorado
Common Ground Healthcare
Payer ID
77170
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Commonwealth Care Alliance (CCA)
Payer ID
A2793
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Commonwealth of Massachusetts GIC
Payer ID
WLPNT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Unicare (80314).
Community Care BHO
Payer ID
23282
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Community Care Inc. (Wisconsin)
Payer ID
39126
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins (effective 12/7/15).
Community Care Inc. - Family Care (Wisconsin)
Payer ID
60995
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins (effective 12/7/15).
Community Care Managed Health Care Plans of Oklahoma
Payer ID
73143
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Community Care Plan (Commercial)
Payer ID
59064
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Community Care Plan (Medicaid)
Payer ID
59065
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Community Family Care Health Plan
Payer ID
CFCHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Community Health Alliance
Payer ID
35193
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Community Health Alliance of Tennessee
Payer ID
27905
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Community Health Center Network - CHCN
Payer ID
CHCN1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins.
Community Health Choice
Payer ID
48145
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Community Health Group of SD (CHGSD) - Capitated Claims
Payer ID
66171
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information.
Community Health Group of SD (CHGSD) - FFS Claims
Payer ID
66170
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information. Office Ally is designated clearinghouse for Real Time Transactions.
Community Health Plan of Washington (CHP of WA)
Payer ID
CHPWA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CommunityCare Oklahoma (CCOK)
Payer ID
73143
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Complementary Healthcare Plan (CHP)
Payer ID
CHP01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Office Ally is designated clearinghouse for Real Time Transactions.
ComPsych
Payer ID
37363
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Concierge HMO IPA
Payer ID
CHHMO
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Conifer Health Solutions
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Connecticare (Commercial)
Payer ID
06105
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment form is under Connecticare Medicare in instructions library. Enrollment also includes Payers 13551, 55247, and 78375.
Connecticare - Medicare Advantage (Emblem)
Payer ID
78375
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 78375 ERAs, you must also enroll under 25531, 13551, and 55247. Office Ally will handle 2016/2017 DOS based routing between Payer ID 78375 and 783PT.
Connecticut General
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment instructions listed under Cigna Healthcare.
Consociate Group
Payer ID
37135
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Consolidated Health Plans
Payer ID
87843
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Constitution State
Payer ID
J4180
Payer ID
Transaction
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 enrollment needed.
Consumers Choice Health SC
Payer ID
45321
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Contessa Health - Security Health Plan
Payer ID
CH101
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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To enroll for ERA’s, send an email to Contessa Health (info@contessahealth.com). The payer will direct you through their enrollment process.
Continental Benefits
Payer ID
35245
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Continental General Insurance Company
Payer ID
71404
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PO Box 21670 Eagan MN 55121.
Contra Costa Health Plan
Payer ID
CCHPL
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cook Childrens Health Plan
Payer ID
CCHP1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cook Childrens Star Plan
Payer ID
CCHP9
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Coordinated Care (Centene)
Payer ID
68069
Payer ID
Transaction
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.
Core Benefits / Multimatic Tennesse, LLC
Payer ID
47165
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cornerstone Benefit Administrators
Payer ID
35202
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Corporate Benefit Service (CBSA)
Payer ID
41124
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Meritain Health' in ECHO.
Corporate Plan Management
Payer ID
64270
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Country Financial Medicare Supplement
Payer ID
95705
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
County Care Health Plan
Payer ID
06541
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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County of Santa Clara
Payer ID
J4488
Payer ID
Transaction
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 enrollment needed.
County of Solano
Payer ID
J2108
Payer ID
Transaction
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 enrollment needed.
Covenant Administrators Inc.
Payer ID
58102
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Atlanta, GA.
Cox Health Plan
Payer ID
00019
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Crum & Forster Medicare Supplement
Payer ID
96618
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
CSI Life Insurance Company Medicare Supplement
Payer ID
95707
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Curative Health
Payer ID
CURTV
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Custom Benefit Administrators
Payer ID
39081
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Custom Design Benefits, Inc.
Payer ID
82056
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CWI Benefits, Inc.
Payer ID
57080
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CYPRESS BENEFIT ADMINISTRATORS
Payer ID
88056
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA can be found under "Premier HealthCare Exchange (PHX) - Cypress Benefit Admin"
Dean Health Plan
Payer ID
39113
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dean Health Plan (Medica)
Payer ID
41822
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment under "Dean Health Plan"
Delano Regional Medical Group (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Delaware First Health (Centene)
Payer ID
68069
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms listed under Centene Corporation.
Delta Health Systems
Payer ID
DHS01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please Note: P5 Health Plan Solutions of Utah (87068) was taken over by Delta Health Systems and is no longer active. Providers should refer to the patient’s current healthcare ID card for the administrator of benefits and Payer ID.
Denti-Cal
Payer ID
94146
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment is completed with EDI Enrollment.
Denver Health and Hospital Authority
Payer ID
84133
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Denver Health Medical Plan
Payer ID
84135
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Department of Corrections - Oklahoma
Payer ID
71065
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department of Social and Health Services (DSHS)
Payer ID
MC006
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Department Rehabilitative Services - Oklahoma
Payer ID
71065
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Deseret Mutual Benefit Administrators
Payer ID
SX105
Payer ID
Transaction
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.
Devoted Health
Payer ID
DEVOT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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DHMN - Preferred IPA Hospital Risk
Payer ID
DHM02
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment upon electronic claim submission
DHMN Santa Cruz
Payer ID
DHM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment upon electronic claim submission
Diamond Bar Medical Group
Payer ID
NMM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dignity Health - Mercy Medical Group / Woodland Clinic
Payer ID
PROH1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Director's Guild of America - Producer Health Plans
Payer ID
BC001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Payer ID 47198
Diversified Administration Corporation
Payer ID
06102
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diversified Group Brokerage
Payer ID
06102
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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DMERC Region A Medicare
Payer ID
16003
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: CT, DE, District of Columbia, MA, ME, MD, NH, NJ, NY, PA, RI, and VT. Effective 6/30/16 (3pm EST), Jurisdiction A will transition from NGS to CGS (Contractor Code: 16013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region B Medicare
Payer ID
17003
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: IL, IN, KY, MI, MN, OH, and WI. Effective 6/30/16 (3pm EST), Jurisdiction B will transition from NGS to CGS (Contractor Code: 17013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region C Medicare
Payer ID
00885
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AL, AR, CO, GA, FL, LA, MS, NC, NM, OK, SC, TN, TX, VA, WV, Puerto Rico, and US Virgin Islands. Contractor Code: 18003.
DMERC Region D Medicare
Payer ID
05655
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, and WY. Contractor Code: 19003.
Doctors Healthcare Plans
Payer ID
DRHCP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Downey Select IPA
Payer ID
APP01
Payer ID
Transaction
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.
Driscoll Childrens Health Plan
Payer ID
74284
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dupage Medical Group
Payer ID
DMG01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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East Bay Drainage Drivers Security Fund
Payer ID
DHS01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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East Boston Neighborhood Pace
Payer ID
25849
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Easy Choice Health Plan of California (Wellcare of California)
Payer ID
14163
Payer ID
Transaction
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
Ebix Health Administration Exchange (EHAE)
Payer ID
55069
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Edenbridge PACE of West Baltimore
Payer ID
R3491
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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