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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
HealthSmart Benefit Solutions (formerly American Administrative/Gallagher Benefit)
Payer ID
37283
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthSmart Benefit Solutions (formerly JSL Administrators)
Payer ID
37272
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthSmart Benefit Solutions (formerly Wells Fargo TPA/Acordia National)
Payer ID
87815
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthTeam Advantage
Payer ID
88250
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Claims for DOS After 7/1/2018. Payer returns ERA's automatically once electronic claim submission begins.
Healthcare Highways
Payer ID
HCH01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Healthcare Management Administrators (HMA)
Payer ID
HMA01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Regence Group Administrator claims should be submitted to Payer ID RGA01, effective January 21, 2017.
Healthcare Options
Payer ID
EPF37
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Healthfirst - New York
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.
Healthfirst 65 Plus
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.
Healthfirst Family Health Plus (FHP)
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.
Healthfirst Health Plan of New Jersey
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.
Healthfirst Inc
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.
Healthfirst PHSP
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.
Healthy Blue LA
Payer ID
00661
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Former Payer ID: 16730. Effective 9/1/17, Amerigroup Louisiana is now Healthy Blue.
Healthy Blue Missouri
Payer ID
00541
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Healthy Blue North Carolina
Payer ID
00602
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Healthy Blue South Carolina
Payer ID
00403
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment can be found under BCBS of South Carolina.
Healthy Montana Kids (HMK)
Payer ID
BCSMT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment form can be found under Blue Cross Blue Shield Montana.
Hennepin Health (formerly Metropolitan Health Plan)
Payer ID
MHP01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hereford Insurance
Payer ID
J4181
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Workers Comp Professional Claims Only. Payer returns ERA automatically for rejected claims only.
Heritage Physicians Network (HPN)
Payer ID
76045
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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claims are to be submitted to Wellcare payer id 14163 and EFT/ERA for Wellcare is available through Payspan under payer ID 14163.
Highmark Health Options
Payer ID
47181
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 1/1/2015. When enrolling for 47181 ERAs, you must also enroll under 25169, 60550, 91741, and 45276.
Highmark Senior - Freedom Blue PPO (Pennsylvania)
Payer ID
15460
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 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
Highmark Senior Health Company (Pennsylvania)
Payer ID
15460
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 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
Highmark Senior Solutions Company - West Virginia
Payer ID
15459
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 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
Hill Physicians Medical Group (HPMG)
Payer ID
HIL01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Institutional claims are accepted, but only for DOS on/after 5/31/16.
Hollywood Presbyterian Medical Group
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.
Home 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.
Hometown Health Plan Nevada
Payer ID
88023
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Horizon BCBS of New Jersey
Payer ID
22099
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form.
Horizon NJ Health
Payer ID
22326
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Horizon Valley Medical Group
Payer ID
HVMG1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Hudson Health Plan (now MVP)
Payer ID
14165
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment form can be found under MVP Health Care
Humana
Payer ID
61101
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Behavioral Health (formerly LifeSynch)
Payer ID
61101
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Gold Choice
Payer ID
61101
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Gold Plus
Payer ID
61101
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Healthy Horizons Oklahoma
Payer ID
61101
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 Humana.
Humana Ohio Medicaid
Payer ID
61103
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.
Huntington Park Mission 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.
I. E. Shaffer
Payer ID
22175
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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West Trenton, New Jersey.
IBC Personal Choice
Payer ID
54704
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IBEW Local 6 - San Francisco Electrical Workers
Payer ID
BS001
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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They will have a prefix code of "XEL" as their member ID on the BSC card.
IMCare
Payer ID
41600
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IN Physician Associates
Payer ID
INPA1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Imagine360 Administrators (GPA)
Payer ID
48143
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as Group and Pension Administrators
Independence Administrators
Payer ID
54763
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independence Blue Cross
Payer ID
54704
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independent Health
Payer ID
95308
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indian Health Services / Veteran Affairs
Payer ID
MR085
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana ProHealth Network
Payer ID
35161
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Individual Health Insurance Companies
Payer ID
31059
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548. ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through few applies to this transaction.
Inland Empire Health Plan
Payer ID
IEHP1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire health Plan (Covered California)
Payer ID
IECCA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment is completed under Inland Empire Health Plan (IEHP1)
Inland Faculty Medical Group (MV Medical)
Payer ID
MVMM1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer ID required. Payer returns ERA's automatically once electronic claim submission begins.
InnovAge
Payer ID
31182
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Benefit System Administrators
Payer ID
07689
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Design Administrators
Payer ID
13315
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Management Services
Payer ID
IMSMS
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Systems
Payer ID
11889
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Integra Administrative Group
Payer ID
51020
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Seaford, Deleware.
IntegraNet
Payer ID
INET1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IntegraNet SCAN
Payer ID
ISCN1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
InterCommunity Health CCO (IHN)
Payer ID
SAMHP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Remittance Advice. Previously Payer ID CP001.
Interactive Medical Systems
Payer ID
56132
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Intercommunity Health Net
Payer ID
SAMHP
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.
International Benefit Administrator
Payer ID
11329
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Iowa Health Advantage
Payer ID
RP075
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Iowa Total 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.
Itasca Medical Center
Payer ID
41600
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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JADE Health Care Medical Group
Payer ID
NMM07
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 9/1/2022 Please contact ProviderRelationsDept@networkmedicalmanagement.com for ERA enrollment requests.
Jai Medical Systems
Payer ID
JAI01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please contact Jai Medical Systems at b.pathak@jaimedical.com or 410-433-2200 ext. 3151 to request ERA activation to Office Ally.
John Muir Physician Network
Payer ID
JMH01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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If you have never submitted claims to John Muir before, please fax your W-9 with contact name and # to Patty Kan 925-941-2026.
Johns Hopkins Healthcare
Payer ID
52189
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Johns Hopkins Healthcare (USFHP)
Payer ID
52123
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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KPS Healthplans
Payer ID
91051
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly under Payer ID KPS01. For DOS prior to 1/1/16, claims should be mailed to KPS - P.O. Box 34803, Seattle, WA 98124. For DOS on or after 1/1/16, submit the claim to Kaiser WA/Group Health (91051). Provider Assistance Unit: (888) 767-4670. ERA Assistance Unit: (877) 833-6821.
Kaiser Foundation Health Plan of Colorado
Payer ID
91617
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Georgia
Payer ID
21313
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Northern CA Region
Payer ID
94135
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Southern CA Region
Payer ID
94134
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Washington
Payer ID
91051
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of the Mid-Atlantic States
Payer ID
52095
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Maryland, Virginia and District of Columbia.
Kaiser Foundation Health Plan of the Northwest
Payer ID
NW002
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Same as Payer ID 93079.
Kaiser Permanente Health Plan of Hawaii
Payer ID
94123
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kalos Health
Payer ID
40137
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kansas Health Advantage (aka Kansas Superior Select)
Payer ID
71066
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.
Kaweah Delta HC District Emp Plan
Payer ID
IP085
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaweah Delta Medicare Advantage
Payer ID
IP084
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kelsey Seybold
Payer ID
KELSE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kempton Company
Payer ID
73100
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kempton Group Administrators
Payer ID
73100
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kentucky Spirit 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.
Key Benefit Administrators
Payer ID
37217
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indianapolis, Indiana.
Key Medical Group
Payer ID
IP082
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Key Medical Group - Medicare Advantage
Payer ID
IP083
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone First Community Health Choices
Payer ID
42344
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone Health Plan East (KHP)
Payer ID
95056
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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