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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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier 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.
Freedom Blue
Payer ID
15459
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Freedom Health Plan
Payer ID
41212
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Fresno PACE
Payer ID
99660
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Friday Health Plans
Payer ID
H0657
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Fringe Benefits Coordinators
Payer ID
59204
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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GEMCare 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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GHA Orthopedic Providers Inc.
Payer ID
GHAOP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gateway Health Plan
Payer ID
25169
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan (Medicaid PA)
Payer ID
25169
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan - Medicare Assured
Payer ID
60550
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 60550 ERAs, you must also enroll under 25169, 91741, 45276, and 47181.
Geisinger Health Plans
Payer ID
75273
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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GemCare Health Plan, Kern County EPO
Payer ID
MCS03
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Genesis Medical Group
Payer ID
GMG01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Giatros Health IPA
Payer ID
GHIPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically upon claim submission.
Gilsbar
Payer ID
07205
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Glendale Adventist Medical Center
Payer ID
NMM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Care Inc.
Payer ID
07689
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Care Medical Group IPA
Payer ID
MPM05
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Women's Health Providers Inc.
Payer ID
GHAWH
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Globe Life & Accident Insurance Company
Payer ID
55004
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gold Coast
Payer ID
77160
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gold Kidney Health Plan
Payer ID
A6865
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Government Employees Hospital Association (GEHA)
Payer ID
44054
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Granite 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.
Gravie Inc
Payer ID
GRV01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Great West Health Care
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.
Greater L.A. Healthcare
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.
Greater Newport Physicians MemorialCare (formerly known as Greater Newport Physicians)
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".
Greater Orange Medical Group
Payer ID
NMM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Greater Oregon Behavioral Health Inc
Payer ID
GOBHI
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please direct claims for DOS after 1/1/2020 to Payer ID 13350. All other claims will be dropped to paper or must be submitted on the payers portal. www.gobhi.org/billing
Greater San Gabriel Medical Group
Payer ID
NMM01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Greater San Gabriel Valley Physicians
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.
Greater Tri-Cities 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".
Group Benefit Services
Payer ID
CB951
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Health Cooperative (GHC)
Payer ID
91051
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Health Cooperative of Eau Claire
Payer ID
95192
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Health Cooperative of South Central Wisconsin (Claims)
Payer ID
39167
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Health Options (Pacific Northwest)
Payer ID
91051
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Health, Inc. (GHI HMO) (Emblem)
Payer ID
25531
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 25531 ERAs, you must also enroll under 13551, 55247, and 78375.
Group Health, Inc. (GHI PPO) (Emblem)
Payer ID
13551
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 13551 ERAs, you must also enroll under 25531, 55247, and 78375.
Group Management Services, Inc. (GMS)
Payer ID
47083
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Guardian Life (The Guardian)
Payer ID
64246
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HMA Hawaii
Payer ID
86066
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HMO LA Blue Advantage
Payer ID
72107
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or after 1/1/2021. ERA Enrollment is completed under BCBS of Louisiana (53120)
HMO Louisiana Blue Advantage
Payer ID
84555
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS prior to 1/1/2021.
HMSA Quest
Payer ID
HMSA1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HN1 Therapy Network
Payer ID
65062
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HSI Care Services
Payer ID
HSICS
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Hamaspik Choice
Payer ID
47738
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hana Hou Medical Group
Payer ID
HHMG1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Harmony Health Plan
Payer ID
14163
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Harvard Pilgrim Health Care
Payer ID
04271
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hawaii Management Alliance Association (HMAA)
Payer ID
48330
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hawaii Medical Alliance Association (HMAA)
Payer ID
48330
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hawaii Medical Assurance Association (HMAA)
Payer ID
HMAA1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Form can be found under "Hawaii Medical Alliance Association (HMAA)".
Hawaii Western Management Group (HWMG)
Payer ID
99208
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Form can be found under "Hawaii Medical Alliance Association (HMAA)".
Health Alliance Medical Plan
Payer ID
77950
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Alliance Plan of Michigan
Payer ID
38224
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Choice Generations
Payer ID
62180
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Cost Solutions (HCS)
Payer ID
62111
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Equity
Payer ID
43700
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer.
Health First Colorado (Medicaid)
Payer ID
77016
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Insurance Plan (HIP) of Greater New York (Emblem)
Payer ID
55247
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 55247 ERAs, you must also enroll under 25531, 13551, and 78375.
Health Net - California
Payer ID
95567
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Net - Missouri
Payer ID
MCDMO
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Net - Oregon
Payer ID
95567
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Net - Washington
Payer ID
95567
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Net Medicare Advantage (Centene)
Payer ID
68069
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For Medicare Advantage and Individual Family Plan (DOS on or after 1/1/2016) claims only. ERA enrollment forms will be listed under Centene Corporation.
Health Network One
Payer ID
65062
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health New England
Payer ID
04286
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Now New York
Payer ID
55204
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Options (Florida Blue)
Payer ID
00590
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Partners Plans (Philadelphia, PA)
Payer ID
80142
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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All claims submitted require a valid HealthPartners PA provider ID in the Rendering Provider Network ID field.
Health Plan Services
Payer ID
59140
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Plan of Nevada
Payer ID
76342
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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InstaMed enrollment under payer ID 96342
Health Plan of San Joaquin
Payer ID
HPSJ1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Plan of San Mateo
Payer ID
HPSM1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Plans, Inc.
Payer ID
44273
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Services for Children with Special Needs (HSCSN)
Payer ID
37290
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Share CCO Clackamas County
Payer ID
CCMMH
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Administered by PH Tech.
Health Share of Oregon CCO (CareOregon Behavioral Health/SUD)
Payer ID
WCHHS
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Administered by PH Tech.
Health Tradition Health Plan
Payer ID
HLTHT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthBridge
Payer ID
74853
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthCare Partners of Nevada
Payer ID
20501
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthCare Resources NW
Payer ID
56731
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthCare Solutions Group
Payer ID
73147
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthCare's Finest Network (HFN)
Payer ID
36335
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthChoice Oklahoma
Payer ID
71064
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For claims with DOS on or after 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
HealthChoice of Arizona
Payer ID
62179
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthEZ
Payer ID
41178
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthFirst (HMO)
Payer ID
80141
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Verify Provider ID prior to submitting claims.
HealthPartners (MN)
Payer ID
94267
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthPlan Services
Payer ID
59140
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Tampa only.
HealthPlan of San Mateo (CalAIM)
Payer ID
HPSM2
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment is under Health Plan of San Mateo.
HealthSCOPE Benefits, Inc.
Payer ID
71063
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthScope UMR
Payer ID
40026
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Only for claims whose patient ID card shows 40026 as the payer ID.
HealthShare CCO Dental
Payer ID
HSCD1
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.
HealthSmart Benefit Solutions (Formerly Pittman and Associates)
Payer ID
37224
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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