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
In Physicians Associates
Payer ID
INP12
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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In Physicians Associates INP12 835
Inservco
Payer ID
J3948
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.
Inservco J3948 835
Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Administrator of America, Inc. (IAA) 37279 835
Insurance Benefit System Administrators
Payer ID
07689
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Benefit System Administrators 07689 835
Insurance Company of North America
Payer ID
95722
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Company of North America 95722 835
Insurance Design Administrators - 13315
Payer ID
13315
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Design Administrators - 13315 13315 835
Insurance Management Services
Payer ID
IMSMS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Management Services IMSMS 835
Insurance Systems
Payer ID
11889
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Systems 11889 835
Intact Insurance (Formerly One Beacon) (Auto)
Payer ID
C1026
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.
Intact Insurance (Formerly One Beacon) (Auto) C1026 835
Integra Administrative Group
Payer ID
51020
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Seaford, Deleware.
Integra Administrative Group 51020 835
Integra BMS
Payer ID
56139
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Integra BMS 56139 835
IntegraNet
Payer ID
INET1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IntegraNet INET1 835
IntegraNet SCAN
Payer ID
ISCN1
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.
IntegraNet SCAN ISCN1 835
Interactive Medical Systems
Payer ID
56132
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Interactive Medical Systems 56132 835
Intercare Holdings for City and County of San Francisco
Payer ID
J4252
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.
Intercare Holdings for City and County of San Francisco J4252 835
InterCommunity Health CCO (IHN)
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.
InterCommunity Health CCO (IHN) SAMHP 835
Intercommunity Health Net
Payer ID
SAMHP
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.
Intercommunity Health Net SAMHP 835
Intermountain Health
Payer ID
20501
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment found under "HealthCare Partners of Nevada"
Intermountain Health 20501 835
International Benefit Administrator
Payer ID
11329
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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International Benefit Administrator 11329 835
Iowa Health Advantage
Payer ID
RP075
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Iowa Health Advantage RP075 835
Iowa Total Care (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.
Iowa Total Care (Centene) 68069 835
Island Home Insurance Company
Payer ID
85502
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Island Home Insurance Company 85502 835
Itasca Medical Center
Payer ID
41600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Itasca Medical Center 41600 835
JADE Health Care Medical Group
Payer ID
NMM07
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 9/1/2022 Please contact ProviderRelationsDept@networkmedicalmanagement.com for ERA enrollment requests.
JADE Health Care Medical Group NMM07 835
Jai Medical Systems
Payer ID
JAI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Jai Medical Systems JAI01 835
John Muir Physician Network
Payer ID
JMH01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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If you have never submitted claims to John Muir before, please fax your W-9 with contact name and # to Patty Kan 925-941-2026.
John Muir Physician Network JMH01 835
Johns Hopkins Healthcare
Payer ID
52189
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Johns Hopkins Healthcare 52189 835
Johns Hopkins Healthcare (USFHP)
Payer ID
52123
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Johns Hopkins Healthcare (USFHP) 52123 835
Johnston & Associates, OccuSure Claims Services, and Compass
Payer ID
J4455
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.
Johnston & Associates, OccuSure Claims Services, and Compass J4455 835
Kaiser Foundation Health Plan of Colorado
Payer ID
91617
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Colorado 91617 835
Kaiser Foundation Health Plan of Georgia
Payer ID
21313
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Georgia 21313 835
Kaiser Foundation Health Plan of Northern CA Region
Payer ID
94135
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Northern CA Region 94135 835
Kaiser Foundation Health Plan of Southern CA Region
Payer ID
94134
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Southern CA Region 94134 835
Kaiser Foundation Health Plan of the Mid-Atlantic States
Payer ID
52095
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Maryland, Virginia and District of Columbia.
Kaiser Foundation Health Plan of the Mid-Atlantic States 52095 835
Kaiser Foundation Health Plan of the Northwest
Payer ID
NW002
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Same as Payer ID 93079.
Kaiser Foundation Health Plan of the Northwest NW002 835
Kaiser Foundation Health Plan of Washington
Payer ID
91051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Washington 91051 835
Kaiser Permanente Health Plan of Hawaii
Payer ID
94123
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Permanente Health Plan of Hawaii 94123 835
Kalos Health
Payer ID
40137
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kalos Health 40137 835
Kansas Health Advantage
Payer ID
71066
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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aka Kansas Superior Select
Kansas Health Advantage 71066 835
Kaweah Delta Medicare Advantage
Payer ID
IP084
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaweah Delta Medicare Advantage IP084 835
Keenan & Associates
Payer ID
KEE01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed through Zelis
Keenan & Associates KEE01 835
Kelsey Seybold
Payer ID
KELSE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kelsey Seybold KELSE 835
Kempton Company
Payer ID
73100
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kempton Company 73100 835
Kempton Group Administrators
Payer ID
73100
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kempton Group Administrators 73100 835
Kentucky Spirit Health (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Centene Corporation.
Kentucky Spirit Health (Centene) 68069 835
Kern Health Systems
Payer ID
77039
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kern Health Systems 77039 835
Key Benefit Administrators
Payer ID
37217
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indianapolis, Indiana.
Key Benefit Administrators 37217 835
Key Medical Group
Payer ID
IP082
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Key Medical Group IP082 835
Key Medical Group - Medicare Advantage
Payer ID
IP083
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Key Medical Group - Medicare Advantage IP083 835
Keystone First Community Health Choices
Payer ID
42344
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone First Community Health Choices 42344 835
Keystone First VIP Choice
Payer ID
77741
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone First VIP Choice 77741 835
Keystone Health Plan East (KHP)
Payer ID
95056
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone Health Plan East (KHP) 95056 835
Keystone Mercy Health Plan
Payer ID
23284
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone Mercy Health Plan 23284 835
Keystone West (Highmark)
Payer ID
54771
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone West (Highmark) 54771 835
Kikkoman Foods Inc - CORVEL
Payer ID
J3925
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.
Kikkoman Foods Inc - CORVEL J3925 835
Koch Foods, Inc - CORVEL
Payer ID
J1986
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Koch Foods, Inc - CORVEL J1986 835
Kova Healthcare, Inc.
Payer ID
KOVA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kova Healthcare, Inc. KOVA1 835
KPIC Self-Funded Claims Administrator
Payer ID
94320
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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KPIC Self-Funded Claims Administrator 94320 835
KPS Healthplans
Payer ID
91051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly under Payer ID KPS01. For DOS prior to 1/1/16, claims should be mailed to KPS - P.O. Box 34803, Seattle, WA 98124. For DOS on or after 1/1/16, submit the claim to Kaiser WA/Group Health (91051). Provider Assistance Unit: (888) 767-4670. ERA Assistance Unit: (877) 833-6821.
KPS Healthplans 91051 835
Krasdale Foods
Payer ID
J4060
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.
Krasdale Foods J4060 835
KSKJ Life Medicare Supplement
Payer ID
95791
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.
KSKJ Life Medicare Supplement 95791 835
LA Care Health Plan
Payer ID
LACAR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LA Care Health Plan LACAR 835
LADOC CorrectCare
Payer ID
LADOC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LADOC CorrectCare LADOC 835
Lagniappe Advantage
Payer ID
LALA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Lagniappe Advantage LALA1 835
Lakewood 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.
Lakewood IPA CAPMN 835
Landmark
Payer ID
LNDMK
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ONLY Clients of ChiroCare of MN practicing in MN, WI, ND, SD, NE or IA can get electronic remits at this time.
Landmark LNDMK 835
LaSalle Medical Associates
Payer ID
LSMA2
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LaSalle Medical Associates LSMA2 835
LBA Health Plans
Payer ID
52193
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LBA Health Plans 52193 835
Leon Health Plans
Payer ID
A3565
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Leon Health Plans A3565 835
Liberty Mutual - Auto
Payer ID
C1058
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.
Liberty Mutual - Auto C1058 835
LifeWise Healthplan of Oregon (Premera)
Payer ID
93093
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LifeWise Healthplan of Oregon (Premera) 93093 835
LifeWise Healthplan of Washington (Premera)
Payer ID
00430
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LifeWise Healthplan of Washington (Premera) 00430 835
LifeWorks Advantage (ISNP plan)
Payer ID
LWA01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/17. Payer returns ERA's automatically once electronic claim submission begins. To request paper EOB’s, email helpdesk@claimsnet.com.
LifeWorks Advantage (ISNP plan) LWA01 835
Line Construction Benefit Fund
Payer ID
LCB01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Line Construction Benefit Fund LCB01 835
Live Well IPA
Payer ID
LWIPA
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.
Live Well IPA LWIPA 835
Longevity CO
Payer ID
LCO01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity CO LCO01 835
Longevity FL
Payer ID
LFL01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity FL LFL01 835
Longevity IL
Payer ID
LIL01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity IL LIL01 835
Longevity MI
Payer ID
LMI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity MI LMI01 835
Longevity NC
Payer ID
LNC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity NC LNC01 835
Longevity NJ
Payer ID
LNJ01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity NJ LNJ01 835
Longevity NY
Payer ID
LNY01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity NY LNY01 835
Los Angeles Medical Center LAMC
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Los Angeles Medical Center LAMC PROSP 835
Los Angeles Medical Center LAMC Encounters
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Los Angeles Medical Center LAMC Encounters PROSP 835
Louisiana Healthcare Connections (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.
