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.
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
North East Medical Services (NEMS)
Payer ID
NEMS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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North East Medical Services (NEMS) NEMS1 835
North Iowa Community Health Plan (NICH)
Payer ID
78353
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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North Iowa Community Health Plan (NICH) 78353 835
North Shore - LIJ (Healthfirst)
Payer ID
17516
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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North Shore - LIJ (Healthfirst) 17516 835
North Shore - LIJ CareConnect Insurance Company
Payer ID
46227
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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North Shore - LIJ CareConnect Insurance Company 46227 835
Northern Nevada Operating Engineers Health and Welfare
Payer ID
88027
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Northern Nevada Operating Engineers Health and Welfare 88027 835
Northern Nevada Trust Fund (Benefit Plan Admin)
Payer ID
88027
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Northern Nevada Trust Fund (Benefit Plan Admin) 88027 835
Northshore Physician Associates
Payer ID
48026
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Northshore Physician Associates 48026 835
Nova Healthcare Administrators, Inc.
Payer ID
16644
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Grand Island, New York.
Nova Healthcare Administrators, Inc. 16644 835
NovaSys Health (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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ERA enrollment forms will be listed under Centene Corporation.
NovaSys Health (Centene) 68069 835
OODA Health
Payer ID
OODAH
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
OODA Health OODAH 835
Oak West Physician Association
Payer ID
36400
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Oak West Physician Association 36400 835
Ogden Benefits Administration (EBC)
Payer ID
OBA16
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Ogden Benefits Administration (EBC) OBA16 835
Ohana Health Plan
Payer ID
14163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Ohana Health Plan 14163 835
Ohio PPO Connect
Payer ID
74431
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Ohio PPO Connect 74431 835
OhioRISE - Aetna Better Health of Ohio
Payer ID
45221
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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ERA Enrollment should be completed under Medicaid Ohio. If you are already approved to receive ERA for Medicaid of Ohio, you do not have to re-enroll.
OhioRISE - Aetna Better Health of Ohio 45221 835
Ojai Valley Community Medical Group
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).
Ojai Valley Community Medical Group SVIPA 835
Oklahoma Complete Health (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
Oklahoma Complete Health (Centene) 68069 835
Oklahoma DRS DOC
Payer ID
71065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Oklahoma DRS DOC 71065 835
Old Surety Life Insurance Co
Payer ID
29237
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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ERA only payer; enrollment is required.
Old Surety Life Insurance Co 29237 835
One Care Connect (OCC)
Payer ID
CALOP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 7/1/15.
One Care Connect (OCC) CALOP 835
OneCare (OC)
Payer ID
CALOP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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OneCare (OC) CALOP 835
Operating Engineers Local 501 of California
Payer ID
BC001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Operating Engineers Local 501 of California BC001 835
Optima Insurance Company
Payer ID
54154
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Optima Insurance Company 54154 835
Optimum Healthcare
Payer ID
20133
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Optimum Healthcare 20133 835
Optum Care Network
Payer ID
OCN01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Previously Known as Health Care Partners California.
Optum Care Network OCN01 835
Optum Care Network - Empire Physicians MG
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network - Empire Physicians MG IP079 835
Optum Care Network - Primecare Medical Group
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network - Primecare Medical Group IP079 835
Optum Care Network–Corona
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Corona IP079 835
Optum Care Network–Hemet Valley
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Hemet Valley IP079 835
Optum Care Network–Inland Valley
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Inland Valley IP079 835
Optum Care Network–Moreno Valley
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Moreno Valley IP079 835
Optum Care Network–Redlands
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Redlands IP079 835
Optum Care Network–Riverside
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Riverside IP079 835
Optum Care Network–Southwestern Valleys
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Southwestern Valleys IP079 835
Optum Care Network–Sun City
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Sun City IP079 835
Optum Care Network–Valley Physicians
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Valley Physicians IP079 835
Optum Maryland Behavioral Health
Payer ID
OMDBH
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Optum Maryland Behavioral Health OMDBH 835
Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks)
Payer ID
41194
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) 41194 835
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network)
Payer ID
LIFE1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
EFT enrollment is required in order to activate ERAs.
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network) LIFE1 835
OptumHealth / OptumHealth Physical Health (includes Oxford) (Formerly ACN)
Payer returns ERA automatically. No enrollment required.
Opyn Market J4261 835
Orchid Medical/Careworks Sedgwick
Payer ID
J4094
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 ERA automatically.
Orchid Medical/Careworks Sedgwick J4094 835
Oscar Health
Payer ID
OSCAR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Oscar Health OSCAR 835
PA Health and Wellness (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
PA Health and Wellness (Centene) 68069 835
PACE Center
Payer ID
CALOP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PACE Center CALOP 835
PCA Health Plan of Texas (Humana)
Payer ID
95885
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PCA Health Plan of Texas (Humana) 95885 835
PCMG of San Luis Obispo (formerly San Luis Obispo Select IPA)
Payer ID
SLOS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PCMG of San Luis Obispo (formerly San Luis Obispo Select IPA) SLOS1 835
PCMG of Santa Maria (formerly Midcoast Care Inc.)
Payer ID
MCI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PCMG of Santa Maria (formerly Midcoast Care Inc.) MCI01 835
PGBA TriWest VA CCN
Payer ID
VAC45
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Provider enrollment is required, meaning a PGBA agreement must be on file. If already enrolled with PGBA for TRICARE, no new VACCN EDI enrollment is required.
PGBA TriWest VA CCN VAC45 835
PHP of the Carolinas
Payer ID
CB404
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PHP of the Carolinas CB404 835
PIH Health (formerly Bright Health)
Payer ID
BHP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PIH Health (formerly Bright Health) BHP01 835
PMG of San Jose
Payer ID
EXC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PMG of San Jose EXC01 835
PSKW
Payer ID
PSKW0
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PSKW PSKW0 835
Pacific IPA
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Pacific IPA NMM01 835
Pacific Southwest Administrators (PSWA)
Payer ID
75309
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Pacific Southwest Administrators (PSWA) 75309 835
PacificSource Community Solutions
Payer ID
20416
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Formerly handled under Payer ID PSCS1 and PSCS2.
PacificSource Community Solutions 20416 835
PacificSource Health Plans
Payer ID
93029
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PacificSource Health Plans 93029 835
PacificSource Medicare
Payer ID
20377
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
PacificSource Medicare 20377 835
Palomar Pomerado Hospital
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Palomar Pomerado Hospital CAPMN 835
Pan American Life Insurance Group
Payer ID
04218
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Pan American Life Insurance Group 04218 835
Paradigm
Payer ID
J1001
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 ERA automatically. No enrollment required.
Paradigm J1001 835
Paramount Health Care
Payer ID
PARHC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Paramount Health Care PARHC 835
Park District Risk Management Association (PDRMA)
Payer ID
J1365
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Park District Risk Management Association (PDRMA) J1365 835
Parkland Community Health Plan
Payer ID
66917
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Enrollment is completed under Aetna Better Health - Parkland (TX)
Parkland Community Health Plan 66917 835
Partners Behavioral Health
Payer ID
13141
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Partners Behavioral Health 13141 835
Partners National Health Plan of NC
Payer ID
SB810
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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(Same form as BCBS North Carolina).
Partners National Health Plan of NC SB810 835
Partnership HealthPlan of California
Payer ID
CPP08
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Partnership HealthPlan of California CPP08 835
Partnership HealthPlan of California CalAim
Payer ID
O9453
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Enrollment is to be completed under Partnership HealthPlan of California (CPP08).
Partnership HealthPlan of California CalAim O9453 835
Pasadena Primary Care Physicians Group
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Pasadena Primary Care Physicians Group CAPMN 835
Passport Health Plan
Payer ID
61325
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Enrollment completed under 'Molina Healthcare'
Passport Health Plan 61325 835
Patient Advocates LLC
Payer ID
55489
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Patient Advocates LLC 55489 835
Peach State Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
Peach State Health Plan (Centene) 68069 835
Peak Health
Payer ID
PEAK0
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Peak Health PEAK0 835
Peak Pace Solutions
Payer ID
27034
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Peak Pace Solutions 27034 835
Pekin Insurance
Payer ID
37086
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Pekin Insurance 37086 835
Peoples Health Network
Payer ID
72126
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Peoples Health Network 72126 835
PerformCare
Payer ID
65391
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Refer to CBHNP-HealthChoices for enrollment information.
PerformCare 65391 835
Performance Health
Payer ID
PHA01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Performance Health PHA01 835
Perlman Medical Group
Payer ID
73275
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Perlman Medical Group 73275 835
Personal Insurance Administrators, Inc. (PIA)
Payer ID
95397
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Personal Insurance Administrators, Inc. (PIA) 95397 835
Physician Partners IPA
Payer ID
PPIPA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Physician Partners IPA PPIPA 835
Physicians Choice Medical Group of San Luis Obispo
Payer ID
SLOS1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Choice Medical Group of San Luis Obispo SLOS1 835
Physicians Choice Medical Group of Santa Maria
Payer ID
MCI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Choice Medical Group of Santa Maria MCI01 835
Physicians Data Trust (PDT)
Payer ID
PDT01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Data Trust (PDT) PDT01 835
Physicians Health Network (PHN)
Payer ID
MHCM2
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically when electronic submission begins.
Physicians Health Network (PHN) MHCM2 835
Physicians Health Plan (PHP) - Global Care
Payer ID
07689
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - Global Care 07689 835
Physicians Health Plan (PHP) - Mid Michigan
Payer ID
37330
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - Mid Michigan 37330 835
Physicians Health Plan (PHP) - Northern Indiana
Payer ID
12399
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - Northern Indiana 12399 835
Physicians Health Plan (PHP) - South Michigan
Payer ID
37330
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - South Michigan 37330 835
Physicians Health Plan (PHP) - Sparrow
Payer ID
37330
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Health Plan (PHP) - Sparrow 37330 835
Physicians Healthcare Plans
Payer ID
65031
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under CarePlus Health Plan (95092). EFT is required in order to receive ERA.
Physicians Healthcare Plans 65031 835
Physicians Healthways IPA
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Healthways IPA NMM01 835
Physicians Management Group
Payer ID
RCHN1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins.
Physicians Management Group RCHN1 835
Physicians Medical Group of San Jose
Payer ID
EXC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Physicians Medical Group of San Jose EXC01 835
Piedmont Community Health Plan
Payer ID
55768
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Piedmont Community Health Plan 55768 835
Pinnacle Medical Group
Payer ID
95271
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EFT enrollment required to obtain ERA’s – Visit www.epicmanagementlp.com Resources>Claims Electronic Funds Form
Pinnacle Medical Group 95271 835
Pioneer Provider Network
Payer ID
PPNZZ
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare and Commercial members only.
Pioneer Provider Network PPNZZ 835
Pittman and Associates (Now known as HealthSmart Benefit Solutions)
Payer ID
37224
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pittman and Associates (Now known as HealthSmart Benefit Solutions) 37224 835
