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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
BCBS Vermont
Payer ID
BCSVT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Virginia (Anthem)
Payer ID
00923
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS West Virginia
Payer ID
54828
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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(Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
BCBS Western New York
Payer ID
00801
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Not the same as Empire BCBS.
BCBS Western New York (Highmark)
Payer ID
00246
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Western New York - (FEP - Federal Employee Program)
Payer ID
00801
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Not the same as Empire BCBS.
BCBS Wisconsin (Anthem)
Payer ID
00950
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Wyoming
Payer ID
00960
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBSMN Blue Plus Medicaid
Payer ID
00726
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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(Former Payer ID 00562)
BMC HealthNet Plan
Payer ID
13337
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BS California
Payer ID
BS001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BS California - FEP
Payer ID
BS001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BS California Promise Health Plan
Payer ID
C1SCA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Previously Care1st Health Plan of California.
BS Northeastern New York
Payer ID
00800
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Not the same as Empire BCBS.
BadgerCare Plus (CCHP)
Payer ID
251CC
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Bakersfield Family Medical Center (BFMC) (Regal)
Payer ID
BKRFM
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Email :providerrelations@bfmc.com and Call 661-616-9379 in order receive ERAs.
Bankers Life (ERA Only)
Payer ID
30152
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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This payer ID is for ERAS only.
Banner Medicare Advantage Plus PPO
Payer ID
84324
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Banner Medicare Advantage Prime HMO
Payer ID
84323
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Banner University Family Care/ALTCS
Payer ID
66901
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Banner University Family Care/ALTCS
Payer ID
66901
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BayCare Select Health Plans Inc
Payer ID
81079
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Beaver Medical Group
Payer ID
45967
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
BeneSys Inc.
Payer ID
38238
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Benefit & Risk Management Services (BRMS)
Payer ID
99320
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Benefit Administration Services LTD (BAS LTD)
Payer ID
41205
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Benefit Administrative Systems (BAS Health)
Payer ID
36149
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Benefit Coordinators Corporation
Payer ID
25145
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Pittsburgh, Pennsylvania.
Benefit Management Inc - Joplin Claims
Payer ID
43178
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Benefit Management Services of Louisiana
Payer ID
53120
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Benefit Plan Administrators
Payer ID
39081
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Eau Claire, Wisconsin.
Better Health of Florida
Payer ID
20488
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Beverly Alianza IPA
Payer ID
NMM06
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Blue Benefit Administrators of MA
Payer ID
03036
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Blue Care Network Advantage of Michigan
Payer ID
00710
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under BCBS Michigan
Blue Care Network Advantage of Michigan
Payer ID
00210
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under BCBS Michigan
Blue Care Network of Michigan
Payer ID
00210
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under BCBS Michigan
Blue Care Network of Michigan
Payer ID
00710
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under BCBS Michigan
Blue Choice of South Carolina
Payer ID
00922
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Blue Cross (Cal-Optima - Medi-Cal)
Payer ID
BC001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Same as payer ID 47198.
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective May 20, 2017 for claims that contain subscriber ID alpha prefix “YIF”. Provider Taxonomy Code required on all claims.
Blue Cross Community ICP / FHP
Payer ID
66005
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI
Payer ID
66005
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community Options of Illinois
Payer ID
66005
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Complete of Michigan
Payer ID
32002
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment done under AmeriHealth Caritas.
Blue Medicare 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).
Boncura Health Solutions
Payer ID
66727
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BookMD Inc.
Payer ID
BKMD1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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To activate ERA's, please contact BookMD.
Boon Chapman Administrators, Inc.
Payer ID
74238
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Boston Medical Center Health Plan (BMCHP)
Payer ID
13337
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Form listed under BMC HealthNet Plan.
Boulder Administration Services
Payer ID
18768
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Braven Health
Payer ID
84367
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BridgeSpan
Payer ID
BRIDG
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Bridgeview Company
Payer ID
FS802
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Bridgeway Health Solutions (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.
Bright Health Medicare Advantage
Payer ID
BRGHT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or after 1/1/2022.
Bright Health Medicare Advantage
Payer ID
BRT01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS prior to 1/1/2022.
Bristol Park Medical Group
Payer ID
MMFMC
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".
Brokerage Concepts
Payer ID
51037
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Brookshire 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.
Brown & Toland Medical Group
Payer ID
94316
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Buckeye Community Health (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.
Buckeye Ohio Medicaid
Payer ID
42020
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.
Builders Mutual Insurance
Payer ID
J1968
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically. Payer accepts both WorkComp and Auto claims. At this time, only Professional (HCFA) claims are accepted.
C. L. Frates and Company
Payer ID
CLFRS
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CAS Coastal Administrative Services
Payer ID
CAS89
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CBA BLUE
Payer ID
03036
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as Comprehensive Benefits Administrator, Inc.
CBHNP - HealthChoices
Payer ID
65391
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CHAMPVA - HAC
Payer ID
84146
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CHOC Health Alliance
Payer ID
CHOC1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CHORUS Community Health Plan (CCHP)
Payer ID
251CC
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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(Formerly known as Children's Community Health Plan)
CIGNA
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CIGNA - PPO
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CIGNA For Seniors
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CIGNA Health Plan
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CIGNA HealthCare
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CIGNA Healthcare for Seniors (Medicare)
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CIGNA PPA
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CIGNA Premier Plus
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CIGNA Private
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CWI Benefits, Inc.
Payer ID
57080
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CYPRESS BENEFIT ADMINISTRATORS
Payer ID
88056
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cahaba GBA (Medicare Part A Rural)
Payer ID
10301
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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All States. Formerly known as Riverbend. EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Cal Water (California Water Service)
Payer ID
99320
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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CalOptima
Payer ID
CALOP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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California Health and Wellness
Payer ID
68047
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please verify Payer ID listed on Patient ID card prior to submission.
California Health and Wellness (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.
California Kids Care (CKC)
Payer ID
CKC01
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.
California Pacific Medical Center (CPMC)
Payer ID
SC053
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cano Health California
Payer ID
CANO1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 10/1//2022 Automatic ERA Enrollment
Cap Management
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.
Capital Blue Cross
Payer ID
23045
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Capital Dental
Payer ID
CDCMD
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA's are available for this payer.
Capital District Physicians Health Plan (CDPHP)
Payer ID
SX065
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Capital Health Partners
Payer ID
CAHP1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer Returns ERAs automatically.
Capital Health Plan
Payer ID
95112
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Capitol Administrators
Payer ID
68011
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cardiovascular Care Providers
Payer ID
GCVCP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Care 1st Health Plan of Arizona (Centene)
Payer ID
68069
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or after 12/1/2022. ERA enrollment forms will be listed under Centene Corporation.
Care Advantage
Payer ID
HPSM1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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