All Available Payers with Office Ally Payer List

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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
Scripps Clinic
Payer ID
SHPS1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Scripps Coastal Medical Center
Payer ID
SHPS1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Scripps Health Plan MSO
Payer ID
SHPM1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Scripps Health Plan Services
Payer ID
SHPS1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Scripps Medical Plan (Aetna)
Payer ID
60054
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Seaview IPA
Payer ID
SVIPA
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).
Security Administrative Services, LLC (Cornerstone)
Payer ID
35202
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Security Health Plan
Payer ID
39045
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sedgwick Claims Management Services (CMS)
Payer ID
TP097
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. ERA enrollment is not required.
Select Administrative Services (SAS)
Payer ID
64088
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gulfport, MS.
Select Health of South Carolina
Payer ID
23285
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Select Health of Utah
Payer ID
SX107
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.
SelectCare of Texas (HPN - Heritage Physicians)
Payer ID
76045
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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claims are to be submitted to Wellcare payer id 14163 and EFT/ERA for Wellcare is available through Payspan under payer ID 14163.
Self Insured Plans
Payer ID
36404
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Naples, FL.
Self Insured Services Company (SISCO)
Payer ID
44827
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Senior Network Health
Payer ID
15682
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Senior Whole Health Massachusetts
Payer ID
SWHMA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/2022. Enrollment completed under 'Molina Healthcare'
Senior Whole Health New York (MLTC Only)
Payer ID
SWHNY
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS 4/1/2021 and forward. Enrollment completed under 'Molina Healthcare'
Sentara Family Plan / Sentara Health Management
Payer ID
54154
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When completing ERA Enrollment for the Payer through Payspan, they will be listed as 'Optima Health Plan'
Sentara Mental Health Professional
Payer ID
5415M
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 Optima/Sentara
Sentinel Security Life Insurance Company
Payer ID
87020
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Secondary Payer ONLY - Medicare Supplement
Sequoia Health 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.
Serendib Healthways
Payer ID
4YC01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sharp Community Medical Group
Payer ID
SCMG1
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.
Sharp Health Plan
Payer ID
SHP01
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.
Sharp Rees-Stealy Medical Group
Payer ID
SRS83
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.
Shasta Administrative Services
Payer ID
75280
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sidecar Health
Payer ID
SDCAR
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA returned automatically
Sierra Health and Life (Claims)
Payer ID
76342
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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California and Nevada. For encounters, use payer ID 76343. InstaMed enrollment under payer ID 71420
Signature Advantage
Payer ID
SA001
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.
SilverSummit Healthplan (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.
Simply Health Care Plan
Payer ID
SMPLY
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly payer ID 27094.
Smoky Mountain Center (now Vaya Health)
Payer ID
13010
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA's are activated as soon as the provider is approved for EDI submissions.
Sound Health & Wellness Trust (Aetna)
Payer ID
60054
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Soundpath Health (formerly known as Puget Sound Health Partners)
Payer ID
42172
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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South Atlantic Medical Group
Payer ID
SAMG1
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.
South Country Health Alliance
Payer ID
81600
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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South Florida Community Care Network - SFCCN (Commercial)
Payer ID
59064
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Medicaid)
Payer ID
59065
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now known as Community Care Plan (CCP).
Southeastern Indiana Health (SIHO)
Payer ID
77153
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
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.
Spina Bifida - VA HAC
Payer ID
84146
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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St Mary's 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.
St. Francis 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.
St. 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.
St. Joseph Heritage Healthcare
Payer ID
STJOE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment is automatic.
St. Joseph Heritage Medical Group
Payer ID
STJOE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment is automatic.
St. Vincent IPA
Payer ID
PDT01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Form can be found under "Physicians Data Trust".
Starmark
Payer ID
61425
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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State Farm Insurance Company
Payer ID
31059
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric, for WC claims and claims with attachments use Payer ID J1548. A UHIN pass through few applies to this transaction.
State Farm Property & Casualty
Payer ID
31059
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Note: To submit WC or Auto claims with Attachments please use payer ID J1548 located exclusively on our WC payer list. If submitting without attachments please continue to use 31059. A UHIN pass through few applies to this transaction.
State Health Plan of North Carolina
Payer ID
SB810
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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(Same form as BCBS North Carolina).
State of Texas Dental Plan (GEHA)
Payer ID
57254
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Staywell Health Plan
Payer ID
14163
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Student Resources (UnitedHealthcare)
Payer ID
74227
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Summit Administration Services, Inc.
Payer ID
86083
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Summit Community Care
Payer ID
PASSE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sun Life Financial (United Concordia)
Payer ID
89070
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sunflower State (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.
Sunrise Advantage Plan of New York
Payer ID
SNY01
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.
Sunrise Advantage Plan of Pennsylvania
Payer ID
SPA01
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.
Sunrise Advantage Plan of Virginia
Payer ID
SVA01
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.
Sunshine State Health Plan (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.
Superior Health Plan (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.
Surest Health Plan
Payer ID
25463
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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formerly known as Bind
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Claims/Encounters
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sutter East Bay Medical Foundation
Payer ID
SC020
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Sutter Senior Care
Payer ID
SC028
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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T2017 Tricare West (Previously known as UnitedHealthcare Military & Veterans)
Payer ID
99726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Coverage: AK, AZ, CA, CO, HI, ID, IA (Except for the Rock Island Arsenal Area), KS, MN, MO, MT NE, NV, NM, ND, OR, SD, West TX, UT, WA.
TLC Benefit Solutions
Payer ID
TLC79
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Taylor Benefit Resource
Payer ID
TAYLR
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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TennCare Select/ BlueCare
Payer ID
00890
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment Forms are the same as those for BCBS TN. Typically if enrolled with BCBS TN, the provider will not need to enroll for Medicaid TN/TennCare. Contact the payer directly to confirm if pre-enrollment is required.
Texas Agricultural Cooperative Trust (TACT)
Payer ID
TXABA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Texas Children's Health Plan
Payer ID
76048
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Texas Childrens Health Plan - Medicaid
Payer ID
75228
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Texas Independence Health Plan
Payer ID
31403
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Texas Medicaid & Healthcare Partnership (TMHP)
Payer ID
TMHP1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under Medicaid Texas
The Boon Group
Payer ID
BOONG
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The CHP Group
Payer ID
CHP01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For RTS and RTE Office Allyis the designated clearinghouse for this payer.
The Hartford
Payer ID
J1422
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically. At this time, only Professional (HCFA) claims are accepted.
The Health Exchange (Cerner Corporation)
Payer ID
20356
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The Health Plan
Payer ID
HPOUV
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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St. Clairsville and Massillon, Ohio / Morgantown and Charleston, West Virginia.
The Health Plan of Upper Ohio Valley
Payer ID
HPOUV
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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St. Clairsville and Massillon, Ohio.
The Health Plan of West Virginia (Medicaid)
Payer ID
HPOUV
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Morgantown and Charleston, West Virginia.
The Macaluso Group
Payer ID
82694
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The Mohegan Tribe of Indians of Connecticut
Payer ID
MOHEG
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Thrivent Financial
Payer ID
THRIV
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Thrivent Financial Aid Association for Lutheran Medicare
Payer ID
30167
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Thrivent Financial Lutheran Brotherhood Medicare
Payer ID
30166
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Together with CCHP
Payer ID
251CC
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Tooling and Manufacturing Assocation
Payer ID
61425
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Torrance Hospital IPA (THIPA)
Payer ID
TMIPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic Enrollment for ERAs
Torrance Memorial Medical Center
Payer ID
TMMC1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic Enrollment for ERA
Total Plan Services (via SmartData)
Payer ID
41202
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Transamerica
Payer ID
TRP1E
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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