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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
Populytics (formerly Spectrum Administrators)
Payer ID
23253
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Prairie States Enterprises
Payer ID
36373
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred Admin Childrens Hosp
Payer ID
EPF11
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred Administrator
Payer ID
EPF10
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred Care Partners - Florida
Payer ID
65088
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred Health Plan of the Carolinas
Payer ID
CB404
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Preferred IPA
Payer ID
PFIPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EFT enrollment is required to receive Electronic Remittance Advice. Contact Preferred IPA provider relations for more information
PreferredOne
Payer ID
41147
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premera Blue Cross Blue Shield of Alaska
Payer ID
00430
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PO Box 91059 Seattle, WA 98111.
Premera Blue Cross of Washington
Payer ID
00430
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PO Box 91059 Seattle, WA 98111.
Premier Care of Northern California
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Premier HealthCare Exchange (PHX) - Commercial Travelers
Payer ID
88091
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Med-Pay
Payer ID
88058
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - BMI Kansas
Payer ID
48611
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Cypress Benefit Admin
Payer ID
88056
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier HealthCare Exchange (PHX) - Elmco
Payer ID
37253
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Premier Patient Care IPA
Payer ID
PPCIP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Premier Physician Alliance
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Premier Physician Network
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Premiercare Health Network
Payer ID
PHNPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Presbyterian Health Plan
Payer ID
PREHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Presbyterian Health Plan
Payer ID
05003
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Presbyterian Health Plan, Inc. (Magellan)
Payer ID
01260
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Presbyterian Intercommunity Hospital
Payer ID
BHP01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Presbyterian Salud (NM)
Payer ID
05003
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Primary Care & Pediatric IPA (PCP IPA)
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Primary Care Associates Medical Group (PCAMG)
Payer ID
IP079
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Prime Community Care Central Valley (MV Medical)
Payer ID
MVCV1
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.
Prime West Health Systems
Payer ID
61604
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PrimeCare Medical Network
Payer ID
IP079
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
PrimeCare Medical Network - Citrus Valley
Payer ID
IP079
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Primecare Medical Network - San Bernardino
Payer ID
IP079
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Priority Health
Payer ID
38217
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Productive Programming, Inc. (PPI)
Payer ID
13396
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. For DOS prior to 4/1/2019.
Professional Benefit Administrators, Inc.
Payer ID
36331
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer ID is valid only for claims with billing address of Professional Benefit Administrators, Inc. in Oak Brook, Illinois.
Progressive Medical Associates, Inc
Payer ID
PMAI2
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERAs will be sent automatically after the provider begins submitting.
Prominence Health Plan
Payer ID
88029
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Facility Claims
Payer ID
PROV1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (818) 837-5686.
Providence Health Assurance Medicare Supplement
Payer ID
77525
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Health Plan
Payer ID
PHP01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providence Risk & Insurance
Payer ID
PAS01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Provider Partners Health Plan of Maryland
Payer ID
31118
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.
Provider Partners Health Plan of Missouri
Payer ID
31404
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.
Provider Partners Health Plan of North Carolina
Payer ID
31406
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically.
Provider Partners Health Plan of Ohio
Payer ID
31402
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.
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
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.
Provider Partners Health Plan of Texas
Payer ID
31405
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.
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
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.
Provider Partners North Carolina Community Plan
Payer ID
31406
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically.
Pruitt Health Premier
Payer ID
PH001
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.
PsycHealth Care Management LLC
Payer ID
A2797
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Public Employees Health Plan (PEHP)
Payer ID
SX106
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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A UHIN pass through few applies to this transaction.
QCA Health Plan
Payer ID
35174
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QVI Risk Solutions Inc
Payer ID
57117
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QualCare (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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For Health Net members only (at this time), effective 11/1/16 (Date of Service).
QualChoice Advantage
Payer ID
42172
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QualChoice Health Insurance
Payer ID
35174
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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QualChoice of Arkansas
Payer ID
35174
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Quartz
Payer ID
39180
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Also known as Quartz ASO and Gundersen Health Plan
RISRx
Payer ID
RISRX
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Rady Childrens Hospital San Diego
Payer ID
RCHSD
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.
Rady Children’s Health Network (RCHN)
Payer ID
RCHN1
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.
Rady’s Children’s Specialists of San Diego
Payer ID
CSSD2
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.
Ravenswood Physician Associates
Payer ID
RPAWC
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Redlands-Yucaipa Medical Group
Payer ID
18247
Payer ID
Transaction
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
Regence Blue Cross Blue Shield - Oregon
Payer ID
00851
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Blue Shield - Idaho
Payer ID
00611
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Blue Shield of Washington State
Payer ID
00932
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Group Administrators (RGA)
Payer ID
RGA01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For Regence Group Administrator (RGA) claims, effective January 21, 2017.
ResourceOne Administrators
Payer ID
37278
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Resurrection Physicians Group
Payer ID
RPPG1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Right Care from Scott & White
Payer ID
74205
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Rios Arizona IPA
Payer ID
RIOSA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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As soon as providers set up EFT the ERAs are turned on automatically. To set up EFT you may contact Rios Arizona IPA at 1-844-220-9222.
River City Medical Group
Payer ID
RCMG1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Root Insurance
Payer ID
J4304
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically. No enrollment required.
S & S Healthcare Strategies
Payer ID
31441
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SAMBA
Payer ID
37259
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SIEBA, LTD
Payer ID
03699
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SIMPRA Advantage
Payer ID
SIM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. To enroll for ERA's, email the Provider Name, TIN, NPI, and Payer ID you’d like ERA’s for to helpdesk@claimsnet.com.
SIMPRA Advantage
Payer ID
SIM02
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SISCO Benefits
Payer ID
44827
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SOMOS Anthem New York
Payer ID
81508
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SOMOS Emblem
Payer ID
81336
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sage Program
Payer ID
MNDH1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Saint Agnes Medical Group
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Saint Johns Health Clinic
Payer ID
SJHC1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment is automatic.
Samaritan Advantage (SA01)
Payer ID
SAMHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Remittance Advice. Previously Payer ID CP001.
Samaritan Choice (SCP)
Payer ID
SAMHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Previously Payer ID SAMHP.
Samaritan Health Plans
Payer ID
SAMHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Previously payer ID CP001. Not the same as Samaritan Ministries. Do not use this payer ID for Samaritan Ministries.
Samaritan Healthy Kids (KID)
Payer ID
SAMHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Remittance Advice. Previously Payer ID CP001.
San Diego PACE
Payer ID
96400
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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San Francisco Electrical Workers - IBEW Local 6
Payer ID
BS001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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They will have a prefix code of "XEL" as their member ID on the BSC card.
San Francisco Health Plan
Payer ID
SFHP1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sana Benefits
Payer ID
50114
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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SandHills Center
Payer ID
SHC30
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sanford Health Plan
Payer ID
91184
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Santa Barbara Select IPA
Payer ID
SBIPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Santa Clara Family Health Plan (SCFHP)
Payer ID
24077
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Scan Health Plan
Payer ID
SCAN1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Scott & White Health Care Plan
Payer ID
88030
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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