All Available Payers with Office Ally Payer List

Remits (835)
All
Claims
(837P, 837I, 837D)
Remits
(835)
Eligibility and Benefits
(270/271)
Claim Status
(276/277)
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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
Transamerica Life Insurance
Payer ID
TLINS
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Tri-Valley Medical Group
Payer ID
20538
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
TriCare East
Payer ID
TREST
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18.
TriCare for Life
Payer ID
TDDIR
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
TriCities 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".
TriHealth Physician Solutions
Payer ID
31144
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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TriStar (formerly Select Benefit Administrators)
Payer ID
42137
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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TriState Benefit Solutions
Payer ID
31144
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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TriWest Healthcare Alliance
Payer ID
VAC45
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
Triad Group LLC
Payer ID
J4229
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.
Tribute Health Plan of Oklahoma
Payer ID
31125
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For all Dates of Service (DOS). Payer returns ERA's automatically once electronic claim submission begins.
Tricare Overseas
Payer ID
FOREN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Tricare West
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.
Trillium Community Health Plans
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.
Trillium Health Resources
Payer ID
56089
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly East Carolina Behavioral Health.
Triple-S Advantage
Payer ID
973MA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Triple-S Salud
Payer ID
SB980
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Truli for Health
Payer ID
TRULI
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Trusteed Plans Service Corporation
Payer ID
91078
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Trustmark Insurance Company
Payer ID
61425
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Tufts Health Plan
Payer ID
04298
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.
Tufts Health Public Plan (Network Health)
Payer ID
04332
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UC Davis Health System
Payer ID
UCDMG
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.
UC Irvine Health (MemorialCare)
Payer ID
MMFUC
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 "MemorialCare".
UCLA Medical Group
Payer ID
USMBP
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. Note: Payer does not return 835s for claims submitted by paper.
UCS BASI Hotstart
Payer ID
19450
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UCare Individual & Family Plans (DOS on or After 1/1/2019)
Payer ID
55413
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UCare Minnesota
Payer ID
52629
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UFCW Northern California &Drug Employers H & W Trust Fund
Payer ID
BS001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UHA Health Insurance
Payer ID
UHA01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UHC Medicare Advantage
Payer ID
12X42
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment is done via ECHO Health
UMR (formerly UMR Wausau)
Payer ID
39026
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Former Payer IDs: 31107, 33108, 37237, 74214, 74223, 75196, and 75243.
UPMC Health Plan
Payer ID
23281
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Benefits
Payer ID
93092
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Department of Labor
Payer ID
77044
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Department of Labor - Black Lung
Payer ID
77104
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Department of Labor - Energy
Payer ID
77103
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Family Health Plan of Texas and Louisiana (USFHP)
Payer ID
USFHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Imaging Network
Payer ID
50383
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Ultra Benefits Inc.
Payer ID
41206
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Umwa Health & Retirement Funds
Payer ID
52180
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Unicare
Payer ID
80314
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Unified Group Services
Payer ID
35198
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Uniform Medical Plan
Payer ID
00932
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Unite Health Share Ministries
Payer ID
07689
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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United American Insurance Company
Payer ID
92916
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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United Concordia (Encounters)
Payer ID
89070
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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United Concordia - Dental Plus - PA Blue Shield
Payer ID
89070
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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United Concordia - Tricare Dental Plan
Payer ID
89070
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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United Concordia Companies, Inc.
Payer ID
89070
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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United of Omaha
Payer ID
71412
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthOne / Golden Rule
Payer ID
37602
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthOne / PacifiCare Life and Health Insurance Company
Payer ID
81400
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security)
Payer ID
81400
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare (UHC)
Payer ID
87726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare / All Savers Alternate Funding
Payer ID
81400
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare / All Savers Insurance
Payer ID
81400
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare / MAHP - MD IPA, Optimum Choice and MLH (formerly MAMSI)
Payer ID
87726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare / Oxford
Payer ID
06111
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EFT enrollment is required in order to activate ERAs. This payer also requires ERA enrollment in Payer ID 87726.
UnitedHealthcare / Spectera Eyecare Networks
Payer ID
00773
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare / UHIS - UnitedHealth Integrated Services
Payer ID
39026
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Former Payer IDs: 31107, 33108, 37237, 74214, 74223, 75196, and 75243.
UnitedHealthcare / UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare)
Payer ID
87726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare)
Payer ID
95959
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Claims are submitted to 87726, and ERA enrollment completed under 95959.
UnitedHealthcare Community Plan / AZ (formerly Arizona Physicians IPA and APIPA)
Payer ID
03432
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / CA, CO, DC, DE, FL, GA, HI, IN, KY, LA, MA, MD, NC, NM, OH, OK, PA, RI, VA, WA (formerly AmeriChoice or Unison)
Payer ID
04567
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Former Payer IDs: 25175, 86003, and 86049. Claims are submitted to 87726, and ERA enrollment completed under 04567.
UnitedHealthcare Community Plan / IA, hawk-i (formerly AmeriChoice of Iowa)
Payer ID
87726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / KS (KanCare)
Payer ID
96385
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan)
Payer ID
95467
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / MS (formerly AmeriChoice MS - CHIP)
Payer ID
87726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / NE (formerly Americhoice NE, ShareAdvantage, and UnitedHealthcare of the Midlands)
Payer ID
87726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid, NJ Family Care, NJ Personal Care Plus)
Payer ID
86047
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / NY (formerly AmeriChoice by UnitedHealthcare, AmeriChoice NY Medicaid & Child Health Plus, AmeriChoice NY Personal Care Plus)
Payer ID
87726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / SC (formerly Unison)
Payer ID
87726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete)
Payer ID
95378
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare)
Payer ID
87726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan of Missouri
Payer ID
86050
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Plan effective 5/1/17.
UnitedHealthcare Ohio Medicaid
Payer ID
88337
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
UnitedHealthcare Shared Services (UHSS)
Payer ID
39026
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Former Payer IDs: 31107, 33108, 37237, 74214, 74223, 75196, and 75243.
Unity Health Insurance
Payer ID
66705
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment must be completed under Quartz.
Univera Healthcare (Excellus)
Payer ID
16107
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Univera PPO (Excellus)
Payer ID
UNINW
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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University Care Advantage
Payer ID
09830
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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See University of Arizona Health Plans ERA enrollment form.
University Family Care
Payer ID
09830
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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See University of Arizona Health Plans ERA enrollment form.
University Health Alliance
Payer ID
UHA01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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University Healthcare Group
Payer ID
07503
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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See University of Arizona Health Plans ERA enrollment form.
University Physicians Healthcare Group
Payer ID
07503
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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See University of Arizona Health Plans ERA enrollment form.
University Texas Medical Board
Payer ID
UTMBC
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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University of Utah Health Plans
Payer ID
SX155
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.
Upper Peninsula Health Plan
Payer ID
38337
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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VA Community Care Network Region 1
Payer ID
VACCN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or after 7/29/2019. Coverage: CT, DE, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, WV, DC.
VA Community Care Network Region 2
Payer ID
VACCN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or After 10/8/2019. Coverage: ND, SD, NE, KS, MN, IA, MO, WI, IL,MI, IN, OH, KY.
VA Community Care Network Region 3
Payer ID
VACCN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or after 1/08/2020. Coverage: FL, SC, GA, AL, TN,MS, LA, AR, OK
VA Fee Basis Programs
Payer ID
12115
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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VGM Homelink
Payer ID
50701
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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VNS Choice SelectCare
Payer ID
77073
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Valley Health Plan
Payer ID
VHP01
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.
Van Lang IPA
Payer ID
77036
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Vaya Health (formerly Smoky Mountain)
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.
Verda Healthcare Texas
Payer ID
VERTX
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/2024 -ERA starts automatically once a provider begins submitting electronically through OA.
ViCare Health
Payer ID
VCH01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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