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
Health Now New York
Payer ID
55204
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Now New York 55204 835
Health Options (Florida Blue)
Payer ID
00590
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Options (Florida Blue) 00590 835
Health Partners Plans (Philadelphia, PA)
Payer ID
80142
Payer ID
Transaction
All
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 Partners Plans (Philadelphia, PA) 80142 835
Health Plan Services
Payer ID
59140
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Plan Services 59140 835
Health Plan of Nevada
Payer ID
76342
Payer ID
Transaction
All
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 Nevada 76342 835
Health Plan of San Joaquin
Payer ID
HPSJ1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Plan of San Joaquin HPSJ1 835
Health Plan of San Mateo
Payer ID
HPSM1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Plan of San Mateo HPSM1 835
Health Plans, Inc.
Payer ID
44273
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Plans, Inc. 44273 835
Health Services for Children with Special Needs (HSCSN)
Payer ID
37290
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Health Services for Children with Special Needs (HSCSN) 37290 835
Health Share CCO Clackamas County
Payer ID
CCMMH
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Administered by PH Tech.
Health Share CCO Clackamas County CCMMH 835
Health Share of Oregon CCO (CareOregon Behavioral Health/SUD)
Payer ID
WCHHS
Payer ID
Transaction
All
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) WCHHS 835
HealthBridge
Payer ID
74853
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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HealthBridge 74853 835
HealthCare Partners of Nevada
Payer ID
20501
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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HealthCare Partners of Nevada 20501 835
HealthCare Resources NW
Payer ID
56731
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthCare Resources NW 56731 835
HealthCare Solutions Group
Payer ID
73147
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthCare Solutions Group 73147 835
HealthCare's Finest Network (HFN)
Payer ID
36335
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthCare's Finest Network (HFN) 36335 835
HealthChoice Oklahoma
Payer ID
71064
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 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
HealthChoice Oklahoma 71064 835
HealthEZ
Payer ID
41178
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthEZ 41178 835
HealthFirst (HMO)
Payer ID
80141
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Verify Provider ID prior to submitting claims.
HealthFirst (HMO) 80141 835
HealthPartners (MN)
Payer ID
94267
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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HealthPartners (MN) 94267 835
HealthPlan Services
Payer ID
59140
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Tampa only.
HealthPlan Services 59140 835
HealthPlan of San Mateo (CalAIM)
Payer ID
HPSM2
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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ERA enrollment is under Health Plan of San Mateo.
HealthPlan of San Mateo (CalAIM) HPSM2 835
HealthSCOPE Benefits, Inc.
Payer ID
71063
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthSCOPE Benefits, Inc. 71063 835
HealthScope UMR
Payer ID
40026
Payer ID
Transaction
All
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.
HealthScope UMR 40026 835
HealthShare CCO Dental
Payer ID
HSCD1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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ERA's are available for this payer.
HealthShare CCO Dental HSCD1 835
HealthSmart Benefit Solutions (Formerly Pittman and Associates)
Payer ID
37224
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HealthSmart Benefit Solutions (Formerly Pittman and Associates) 37224 835
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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Hide note
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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
View note
Hide note
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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
View note
Hide note
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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
View note
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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
View note
Hide note
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Hide note
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
View note
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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
View note
Hide note
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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
View note
Hide note
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Hide note
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
View note
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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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
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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
View note
Hide note
View note
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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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
Hide note
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
View note
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Hide note
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
View note
Hide note
View note
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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
View note
Hide note
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Hide note
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
View note
Hide note
View note
Hide note
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
View note
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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
IL Youthcare (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA forms will be listed under Centene Corporation
IL Youthcare (Centene) 68069 835
IMCare
Payer ID
41600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
Hide note
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
View note
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Formerly known as Group and Pension Administrators.
Basic Plus (TCC) is now part of Imagine360.
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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
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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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
Hide note
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
View note
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View note
Hide note
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
View note
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View note
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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
View note
Hide note
View note
Hide note
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
View note
Hide note
View note
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InnovAge 31182 835
Innovative Integrated Health, Inc.
Payer ID
IIHPO
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 automatically. No enrollment required.
Innovative Integrated Health, Inc. IIHPO 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
View note
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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
View note
Hide note
View note
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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
View note
Hide note
View note
Hide note
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
View note
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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
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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.