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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
Concierge HMO IPA
Payer ID
CHHMO
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Conifer Health Solutions
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Connecticare - Medicare Advantage (Emblem)
Payer ID
78375
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 78375 ERAs, you must also enroll under 25531, 13551, and 55247. Office Ally will handle 2016/2017 DOS based routing between Payer ID 78375 and 783PT.
Connecticut Carpenters Health Fund
Payer ID
37307
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Connecticut General
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment instructions listed under Cigna Healthcare.
Consolidated Health Plans
Payer ID
87843
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Consumers Choice Health SC
Payer ID
45321
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Contessa Health - Security Health Plan
Payer ID
CH101
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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To enroll for ERA’s, send an email to Contessa Health (info@contessahealth.com). The payer will direct you through their enrollment process.
Continental Benefits
Payer ID
35245
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Continental General Insurance Company
Payer ID
71404
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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PO Box 21670 Eagan MN 55121.
Contra Costa Health Plan
Payer ID
CCHPL
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cook Childrens Health Plan
Payer ID
CCHP1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cook Childrens Star Plan
Payer ID
CCHP9
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Coordinated Care (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.
Copperpoint Mutual Insurance Company
Payer ID
J2093
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically.
Core Benefits / Multimatic Tennesse, LLC
Payer ID
47165
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Cornerstone Benefit Administrators
Payer ID
35202
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Corporate Benefit Service (CBSA)
Payer ID
41124
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Meritain Health' in ECHO.
Corvel
Payer ID
J4110
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically.
Covenant Administrators Inc.
Payer ID
58102
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Atlanta, GA.
Cox Health Plan
Payer ID
00019
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Custom Benefit Administrators
Payer ID
39081
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Custom Design Benefits, Inc.
Payer ID
82056
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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DHMN - Preferred IPA Hospital Risk
Payer ID
DHM02
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment upon electronic claim submission
DHMN Santa Cruz
Payer ID
DHM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment upon electronic claim submission
DMERC Region A Medicare
Payer ID
16003
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. Coverage: CT, DE, District of Columbia, MA, ME, MD, NH, NJ, NY, PA, RI, and VT. Effective 6/30/16 (3pm EST), Jurisdiction A will transition from NGS to CGS (Contractor Code: 16013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region B Medicare
Payer ID
17003
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. Coverage: IL, IN, KY, MI, MN, OH, and WI. Effective 6/30/16 (3pm EST), Jurisdiction B will transition from NGS to CGS (Contractor Code: 17013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region C Medicare
Payer ID
00885
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. Coverage: AL, AR, CO, GA, FL, LA, MS, NC, NM, OK, SC, TN, TX, VA, WV, Puerto Rico, and US Virgin Islands. Contractor Code: 18003.
DMERC Region D Medicare
Payer ID
05655
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. Coverage: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, and WY. Contractor Code: 19003.
Dean Health Plan
Payer ID
39113
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Delano Regional Medical Group (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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Delaware First 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 listed under Centene Corporation.
Delta Health Systems
Payer ID
DHS01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please Note: P5 Health Plan Solutions of Utah (87068) was taken over by Delta Health Systems and is no longer active. Providers should refer to the patient’s current healthcare ID card for the administrator of benefits and Payer ID.
Department Rehabilitative Services - Oklahoma
Payer ID
71065
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department of Corrections - Oklahoma
Payer ID
71065
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department of Social and Health Services (DSHS)
Payer ID
MC006
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Deseret Mutual Benefit Administrators
Payer ID
SX105
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.
Devoted Health
Payer ID
DEVOT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diamond Bar Medical Group
Payer ID
NMM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dignity Health - Mercy Medical Group / Woodland Clinic
Payer ID
PROH1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Director's Guild of America - Producer Health Plans
Payer ID
BC001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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District 9 Machinists Welfare Trust
Payer ID
MWELT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer; Enrollment required.
Diversified Administration Corporation
Payer ID
06102
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diversified Group Brokerage
Payer ID
06102
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Doctors Healthcare Plans
Payer ID
DRHCP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Downey Select 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.
Driscoll Childrens Health Plan
Payer ID
74284
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EMI Health
Payer ID
SX110
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.
ES Beveridge & Associates
Payer ID
34108
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ESIS Workers Comp
Payer ID
TP043
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.
East Bay Drainage Drivers Security Fund
Payer ID
DHS01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EastPointe Behavioral Health
Payer ID
08044
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.
Ebix Health Administration Exchange (EHAE)
Payer ID
55069
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Edinger Medical Group
Payer ID
GNPMG
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".
El Camino Health Alliance
Payer ID
ECL01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
El Camino Health Medical Network
Payer ID
S9637
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 9/1/2019 Previously known as San Jose Medical Group.
El Paso First - CHIP
Payer ID
EPF03
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Paso First Health Plans Premier Plan STAR Medicaid HMO
Payer ID
EPF02
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ElderPlan, Inc.
Payer ID
31625
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider ID, contact (718) 921-7979.
Elderwood Health
Payer ID
03964
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Element Care, Inc.
Payer ID
04326
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Empire Healthcare IPA
Payer ID
EHI01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/22
Employee Benefit Corporation
Payer ID
37215
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Employee Benefit Management Services (EBMS)
Payer ID
81039
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Employee Benefit Services - Ft. Mill, South Carolina
Payer ID
37216
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Employee Benefits Plan Administration (EBPA)
Payer ID
03036
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Envolve Vision (Formerly known as OptiCare Managed Vision)
Payer ID
56190
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment forms are listed under OptiCare Managed Vision.
Esperanza IPA
Payer ID
EIPA8
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For claims with DOS 8/1/14 and later. Payer returns ERAs automatically once electronic claim submission begins.
EverNorth Behavioral Health
Payer ID
62308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as CIGNA Behavioral Health. Enrollment instructions listed under Cigna Healthcare.
Everence
Payer ID
35605
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Evergreen Health
Payer ID
45319
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Evolutions Healthcare Systems
Payer ID
59313
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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New Port Richey, Florida.
Excel MSO
Payer ID
EXC01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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As of 1/1/24, enrollment is completed under Optum Care Network (PMGSJ)
Excel MSO UHC PPO
Payer ID
EXC02
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Exceptional Care Medical Group (ECMG)
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.
Exclusicare
Payer ID
71412
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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FCE Benefit Administrators
Payer ID
33033
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Facey Medical Foundation
Payer ID
95432
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment.
Falling Colors (BHSD STAR)
Payer ID
FCC20
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERAs returned automatically.
Family Choice 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.
Family Health 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.
Family Practice Medical Group
Payer ID
10145
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
Farm Bureau Advantage HMO
Payer ID
RP061
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Federal Employee Plan of South Carolina
Payer ID
00402
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Federal Employees Plan WA (Regence Blue Shield)
Payer ID
00932
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Fenix Medical Group
Payer ID
60818
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
Fidelis Care New York
Payer ID
11315
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA's have been re-established. Please complete ERA re-enrollment.
First Choice Health Administrators (FCHA)
Payer ID
91131
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA's are available via RedCard for this plan (FCHA).
First Choice MA Plans
Payer ID
FCMA1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment.
First Choice Medical Group/Meritage
Payer ID
FC001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 4/1/2021. Payer returns ERAs automatically.
First Medical Health Plan (Reform)
Payer ID
66064
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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First Priority Health (FPH) - Highmark
Payer ID
54771
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For those that renewed coverage in 2016.
First Priority Life Insurance Company (FPLIC) - Highmark
Payer ID
54771
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For those that renewed coverage in 2016.
FirstSolutions
Payer ID
FS802
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now Known as Bridgeview Company.
Firstcare (Medicaid)
Payer ID
94998
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Firstcare and Firstcare Medicaid
Payer ID
94999
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Blue HMO
Payer ID
00590
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Community Care
Payer ID
FLCCR
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Healthcare Plan
Payer ID
59322
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida True Health
Payer ID
77003
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.