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
HealthSmart Benefit Solutions (formerly American Administrative/Gallagher Benefit)
Payer ID
37283
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthSmart Benefit Solutions (formerly American Administrative/Gallagher Benefit) 37283 835
Former Payer ID: 16730. Effective 9/1/17, Amerigroup Louisiana is now Healthy Blue.
Healthy Blue LA 00661 835
Healthy Blue Missouri
Payer ID
00541
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Healthy Blue Missouri 00541 835
Healthy Blue North Carolina
Payer ID
00602
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Healthy Blue North Carolina 00602 835
Healthy Blue South Carolina
Payer ID
00403
Payer ID
Transaction
All
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 Blue South Carolina 00403 835
Healthy Montana Kids (HMK)
Payer ID
BCSMT
Payer ID
Transaction
All
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.
Healthy Montana Kids (HMK) BCSMT 835
Hennepin Health (formerly Metropolitan Health Plan)
Payer ID
MHP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hennepin Health (formerly Metropolitan Health Plan) MHP01 835
Hereford Insurance
Payer ID
J4181
Payer ID
Transaction
All
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.
Hereford Insurance J4181 835
Heritage Physicians Network (HPN)
Payer ID
76045
Payer ID
Transaction
All
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.
Heritage Physicians Network (HPN) 76045 835
Highmark Health Options
Payer ID
47181
Payer ID
Transaction
All
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 Health Options 47181 835
Highmark Senior - Freedom Blue PPO (Pennsylvania)
Payer ID
15460
Payer ID
Transaction
All
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 - Freedom Blue PPO (Pennsylvania) 15460 835
Highmark Senior Health Company (Pennsylvania)
Payer ID
15460
Payer ID
Transaction
All
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) 15460 835
Highmark Senior Solutions Company - West Virginia
Payer ID
15459
Payer ID
Transaction
All
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 15459 835
Hill Physicians Medical Group (HPMG)
Payer ID
HIL01
Payer ID
Transaction
All
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.
Hill Physicians Medical Group (HPMG) HIL01 835
Hollywood Presbyterian Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
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.
Hollywood Presbyterian Medical Group CAPMN 835
Home State (Centene)
Payer ID
68069
Payer ID
Transaction
All
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.
Home State (Centene) 68069 835
Hometown Health Plan Nevada
Payer ID
88023
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hometown Health Plan Nevada 88023 835
Horizon BCBS of New Jersey
Payer ID
22099
Payer ID
Transaction
All
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 BCBS of New Jersey 22099 Blue Cross Blue Shield 835
Horizon NJ Health
Payer ID
22326
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Horizon NJ Health 22326 835
Horizon Valley Medical Group
Payer ID
HVMG1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Horizon Valley Medical Group HVMG1 835
Hudson Health Plan (now MVP)
Payer ID
14165
Payer ID
Transaction
All
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
Hudson Health Plan (now MVP) 14165 835
Humana
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana 61101 835
Humana Behavioral Health (formerly LifeSynch)
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Behavioral Health (formerly LifeSynch) 61101 835
Humana Gold Choice
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Gold Choice 61101 835
Humana Gold Plus
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Gold Plus 61101 835
Humana Healthy Horizons Oklahoma
Payer ID
61101
Payer ID
Transaction
All
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 Healthy Horizons Oklahoma 61101 835
Humana Ohio Medicaid
Payer ID
61103
Payer ID
Transaction
All
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.
Humana Ohio Medicaid 61103 835
Huntington Park Mission Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Huntington Park Mission Medical Group CAPMN 835
I. E. Shaffer
Payer ID
22175
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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West Trenton, New Jersey.
I. E. Shaffer 22175 835
IBC Personal Choice
Payer ID
54704
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IBC Personal Choice 54704 835
IBEW Local 6 - San Francisco Electrical Workers
Payer ID
BS001
Payer ID
Transaction
All
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.
IBEW Local 6 - San Francisco Electrical Workers BS001 835
IMCare
Payer ID
41600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IMCare 41600 835
IN Physician Associates
Payer ID
INPA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IN Physician Associates INPA1 835
Imagine360 Administrators (GPA)
Payer ID
48143
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as Group and Pension Administrators
Imagine360 Administrators (GPA) 48143 835
Independence Administrators
Payer ID
54763
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independence Administrators 54763 835
Independence Blue Cross
Payer ID
54704
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independence Blue Cross 54704 835
Independent Health
Payer ID
95308
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independent Health 95308 835
Indian Health Services / Veteran Affairs
Payer ID
MR085
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indian Health Services / Veteran Affairs MR085 835
Indiana ProHealth Network
Payer ID
35161
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana ProHealth Network 35161 835
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 835
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana University (IU) Health Plan – Medicare Advantage 95444 835
Individual Health Insurance Companies
Payer ID
31059
Payer ID
Transaction
All
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.
Individual Health Insurance Companies 31059 835
Inland Empire Health Plan
Payer ID
IEHP1
Payer ID
Transaction
All
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 IEHP1 835
Inland Empire health Plan (Covered California)
Payer ID
IECCA
Payer ID
Transaction
All
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 Empire health Plan (Covered California) IECCA 835
Inland Faculty Medical Group (MV Medical)
Payer ID
MVMM1
Payer ID
Transaction
All
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.
Inland Faculty Medical Group (MV Medical) MVMM1 835
InnovAge
Payer ID
31182
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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InnovAge 31182 835
Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Administrator of America, Inc. (IAA) 37279 835
Insurance Benefit System Administrators
Payer ID
07689
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Benefit System Administrators 07689 835
Insurance Design Administrators
Payer ID
13315
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Design Administrators 13315 835
Insurance Management Services
Payer ID
IMSMS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Management Services IMSMS 835
Insurance Systems
Payer ID
11889
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Systems 11889 835
Integra Administrative Group
Payer ID
51020
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Seaford, Deleware.
Integra Administrative Group 51020 835
IntegraNet
Payer ID
INET1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IntegraNet INET1 835
IntegraNet SCAN
Payer ID
ISCN1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
IntegraNet SCAN ISCN1 835
InterCommunity Health CCO (IHN)
Payer ID
SAMHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Remittance Advice. Previously Payer ID CP001.
InterCommunity Health CCO (IHN) SAMHP 835
Interactive Medical Systems
Payer ID
56132
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Interactive Medical Systems 56132 835
Intercommunity Health Net
Payer ID
SAMHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Payer returns ERAs automatically once electronic claim submission begins.
Intercommunity Health Net SAMHP 835
International Benefit Administrator
Payer ID
11329
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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International Benefit Administrator 11329 835
Iowa Health Advantage
Payer ID
RP075
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Iowa Health Advantage RP075 835
Iowa Total Care (Centene)
Payer ID
68069
Payer ID
Transaction
All
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.
Iowa Total Care (Centene) 68069 835
Itasca Medical Center
Payer ID
41600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Itasca Medical Center 41600 835
JADE Health Care Medical Group
Payer ID
NMM07
Payer ID
Transaction
All
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.
JADE Health Care Medical Group NMM07 835
Jai Medical Systems
Payer ID
JAI01
Payer ID
Transaction
All
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.
Jai Medical Systems JAI01 835
John Muir Physician Network
Payer ID
JMH01
Payer ID
Transaction
All
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.
John Muir Physician Network JMH01 835
Johns Hopkins Healthcare
Payer ID
52189
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Johns Hopkins Healthcare 52189 835
Johns Hopkins Healthcare (USFHP)
Payer ID
52123
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Johns Hopkins Healthcare (USFHP) 52123 835
KPS Healthplans
Payer ID
91051
Payer ID
Transaction
All
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.
KPS Healthplans 91051 835
Kaiser Foundation Health Plan of Colorado
Payer ID
91617
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Colorado 91617 835
Kaiser Foundation Health Plan of Georgia
Payer ID
21313
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Georgia 21313 835
Kaiser Foundation Health Plan of Northern CA Region
Payer ID
94135
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Kaiser Foundation Health Plan of Northern CA Region 94135 835
Kaiser Foundation Health Plan of Southern CA Region
Payer ID
94134
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Kaiser Foundation Health Plan of Southern CA Region 94134 835
Kaiser Foundation Health Plan of Washington
Payer ID
91051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Washington 91051 835
Kaiser Foundation Health Plan of the Mid-Atlantic States
Payer ID
52095
Payer ID
Transaction
All
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 Mid-Atlantic States 52095 835
Kaiser Foundation Health Plan of the Northwest
Payer ID
NW002
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Same as Payer ID 93079.
Kaiser Foundation Health Plan of the Northwest NW002 835
Kaiser Permanente Health Plan of Hawaii
Payer ID
94123
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Permanente Health Plan of Hawaii 94123 835
Kalos Health
Payer ID
40137
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kalos Health 40137 835
Kansas Health Advantage (aka Kansas Superior Select)
Payer ID
71066
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Payer returns ERA's automatically once electronic claim submission begins.
Kansas Health Advantage (aka Kansas Superior Select) 71066 835
Kaweah Delta HC District Emp Plan
Payer ID
IP085
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaweah Delta HC District Emp Plan IP085 835
Kaweah Delta Medicare Advantage
Payer ID
IP084
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaweah Delta Medicare Advantage IP084 835
Kelsey Seybold
Payer ID
KELSE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kelsey Seybold KELSE 835
Kempton Company
Payer ID
73100
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kempton Company 73100 835
Kempton Group Administrators
Payer ID
73100
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kempton Group Administrators 73100 835
Kentucky Spirit Health (Centene)
Payer ID
68069
Payer ID
Transaction
All
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.