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.
NOTICE: The Payer List page is currently unavailable due to scheduled maintanance
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
Blue Cross (Cal-Optima - Medi-Cal)
Payer ID
BC001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Enrollment is completed under Payer ID 47198
Blue Cross (Cal-Optima - Medi-Cal) BC001 835
Blue Cross (Cal-Optima - Medi-Cal)
Payer ID
BC001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Same as payer ID 47198.
Blue Cross (Cal-Optima - Medi-Cal) BC001 837P
Blue Cross Community Centennial (BCBS NM)
Payer ID
BCBS-COMMCENT
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Cross Community Centennial (BCBS NM) BCBS-COMMCENT 276 / 277
Blue Cross Community Centennial (BCBS NM)
Payer ID
BCBS-COMMCENT
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Cross Community Centennial (BCBS NM) BCBS-COMMCENT 270 / 271
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective May 20, 2017 for claims that contain subscriber ID alpha prefix “YIF”. Provider Taxonomy Code required on all claims.
Blue Cross Community Centennial (BCBS NM) MC721 Blue Cross Blue Shield 837P
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective May 20, 2017 for claims that contain subscriber ID alpha prefix “YIF”. Provider Taxonomy Code required on all claims.
Blue Cross Community Centennial (BCBS NM) MC721 Blue Cross Blue Shield 837I
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Enrollment completed under '00790' - BCBS New Mexico (HCSC)
Blue Cross Community Centennial (BCBS NM) MC721 Blue Cross Blue Shield 835
Blue Cross Community Health Plans
Payer ID
66012
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Cross Community Health Plans 66012 835
Blue Cross Community Health Plans
Payer ID
66012
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Cross Community Health Plans 66012 837P
Blue Cross Community Health Plans
Payer ID
66012
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Cross Community Health Plans 66012 837I
Blue Cross Community MMAI
Payer ID
66005
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI 66005 837P
Blue Cross Community MMAI
Payer ID
66005
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI 66005 837I
Blue Cross Community MMAI
Payer ID
66005
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI 66005 835
Blue Cross Community Options of Illinois
Payer ID
MCDIL
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Cross Community Options of Illinois MCDIL 270 / 271
Blue Cross Complete of Michigan
Payer ID
00710
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Enrollment is completed under BCBS MI
Blue Cross Complete of Michigan 00710 835
Blue Cross Complete of Michigan
Payer ID
00710
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Cross Complete of Michigan 00710 837P
Blue Cross Medicare Advantage PPO/HMO
Payer ID
66006
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Enrollment for 66006 covers Illinois, Montana, New Mexico, Oklahoma, and Texas.
Blue Cross Medicare Advantage PPO/HMO 66006 835
Blue Cross Medicare Advantage PPO/HMO
Payer ID
66006
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017 for claims that contain the following subscriber ID alpha prefixes: JLX, JYN, XOD, XOJ, YDJ, YDL, YDV, YID, YIJ, YUB, YUW, YUX, ZGD, ZGJ, or ZZT. Covers Illinois, Montana, New Mexico, Oklahoma, and Texas.
Blue Cross Medicare Advantage PPO/HMO 66006 837P
Blue Cross Medicare Advantage PPO/HMO
Payer ID
66006
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017 for claims that contain the following subscriber ID alpha prefixes: JLX, JYN, XOD, XOJ, YDJ, YDL, YDV, YID, YIJ, YUB, YUW, YUX, ZGD, ZGJ, or ZZT. Covers Illinois, Montana, New Mexico, Oklahoma, and Texas.
Blue Cross Medicare Advantage PPO/HMO 66006 837I
Blue Medicare Advantage (Anthem)
Payer ID
BLUE-MA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Medicare Advantage (Anthem) BLUE-MA 270 / 271
Blue Medicare Advantage (Anthem)
Payer ID
BLUE-MA
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Medicare Advantage (Anthem) BLUE-MA 276 / 277
Blue Shield of California (P.O. Box 272540) BSCA3 837D
Blue Shield of California (P.O. Box 272590)
Payer ID
BSCA1
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Shield of California (P.O. Box 272590) BSCA1 837D
Blue Zones Health Network of CA
Payer ID
AMG02
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Zones Health Network of CA AMG02 837I
Blue Zones Health Network of CA
Payer ID
AMG02
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Zones Health Network of CA AMG02 837P
BMC HealthNet Plan
Payer ID
13337
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BMC HealthNet Plan 13337 837P
BMC HealthNet Plan
Payer ID
13337
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BMC HealthNet Plan 13337 837I
BMC HealthNet Plan
Payer ID
13337
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BMC HealthNet Plan 13337 835
BMW North America
Payer ID
J1259
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
BMW North America J1259 837P
Boilermakers National Health & Welfare Fund
Payer ID
36609
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boilermakers National Health & Welfare Fund 36609 837P
BoldAge PACE
Payer ID
BOLD1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
BoldAge PACE BOLD1 835
BoldAge PACE
Payer ID
BOLD1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Returns ERAs automatically once electronic submission begins.
BoldAge PACE BOLD1 837I
BoldAge PACE
Payer ID
BOLD1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Returns ERAs automatically once electronic submission begins.
BoldAge PACE BOLD1 837P
BoldAge Pace CA Fresno
Payer ID
65436
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BoldAge Pace CA Fresno 65436 837P
BoldAge Pace CA Fresno
Payer ID
65436
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BoldAge Pace CA Fresno 65436 837I
Boldage Pace IN Evansville
Payer ID
65433
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boldage Pace IN Evansville 65433 837I
Boldage Pace IN Evansville
Payer ID
65433
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boldage Pace IN Evansville 65433 837P
Boldage Pace KY Owensboro
Payer ID
65435
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boldage Pace KY Owensboro 65435 837I
Boldage Pace KY Owensboro
Payer ID
65435
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boldage Pace KY Owensboro 65435 837P
Boldage Pace SC Charleston
Payer ID
65434
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Boldage Pace SC Charleston 65434 837I
Boldage Pace SC Charleston
Payer ID
65434
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boldage Pace SC Charleston 65434 837P
Boler Company
Payer ID
J1870
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Boler Company J1870 837P
Boon Chapman Administrators, Inc.
Payer ID
74238
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boon Chapman Administrators, Inc. 74238 835
Boon Chapman Administrators, Inc.
Payer ID
74238
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Boon Chapman Administrators, Inc. 74238 837P
Boon Chapman Administrators, Inc.
Payer ID
74238
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boon Chapman Administrators, Inc. 74238 837I
Boon Chapman Administrators, Inc.
Payer ID
BOON-CHAPMAN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boon Chapman Administrators, Inc. BOON-CHAPMAN 270 / 271
Boston Medical Center Health Plan (BMCHP)
Payer ID
13337
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Form listed under BMC HealthNet Plan.
Boston Medical Center Health Plan (BMCHP) 13337 835
Boston Medical Center Health Plan (BMCHP)
Payer ID
13337
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Boston Medical Center Health Plan (BMCHP) 13337 837P
Boston Medical Center Health Plan (BMCHP)
Payer ID
13337
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boston Medical Center Health Plan (BMCHP) 13337 837I
Boston Medical Center Health Plan (BMCHP)
Payer ID
BMCHP
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boston Medical Center Health Plan (BMCHP) BMCHP 270 / 271
Boulder Administration Services
Payer ID
18768
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boulder Administration Services 18768 837P
Boulder Administration Services
Payer ID
18768
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boulder Administration Services 18768 837I
Boulder Administration Services
Payer ID
18768
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boulder Administration Services 18768 835
Brand New Day
Payer ID
BRAND-NEW
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Brand New Day BRAND-NEW 270 / 271
Brand New Day Encounters
Payer ID
UC002
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Encounter submissions ONLY.
Brand New Day Encounters UC002 837P
Brand New Day Encounters
Payer ID
UC002
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Encounter submissions ONLY.
Brand New Day Encounters UC002 837I
Brand New Day (FFS)
Payer ID
UC001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Brand New Day (FFS) UC001 837P
Brand New Day (FFS)
Payer ID
UC001
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Brand New Day (FFS) UC001 837I
Braven Health
Payer ID
84367
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Braven Health 84367 837P
Braven Health
Payer ID
84367
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Braven Health 84367 837I
Braven Health
Payer ID
84367
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Braven Health 84367 835
Braven Health
Payer ID
BRAVEN
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Braven Health BRAVEN 276 / 277
Braven Health
Payer ID
BRAVEN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Braven Health BRAVEN 270 / 271
BreckPoint
Payer ID
BKPNT
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BreckPoint BKPNT 837P
BreckPoint
Payer ID
BKPNT
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BreckPoint BKPNT 837I
Brentwood Services Administrators, Inc
Payer ID
J2297
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically for Rejected Claims Only.
Brentwood Services Administrators, Inc J2297 837P
Brickstreet
Payer ID
J1761
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Brickstreet J1761 837P
Bridgefield Casualty
Payer ID
J1437
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Bridgefield Casualty J1437 837P
Bridgefield Casualty
Payer ID
J1437
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Bridgefield Casualty J1437 835
Bridgefield Casualty
Payer ID
J1437
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Bridgefield Casualty J1437 837I
Bridgefield Employers
Payer ID
J1437
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Bridgefield Employers J1437 837P
Bridgefield Employers
Payer ID
J1437
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Bridgefield Employers J1437 837I
Bridgefield Employers
Payer ID
J1437
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Bridgefield Employers J1437 835
Bridgeport Dental Service
Payer ID
CX028
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bridgeport Dental Service CX028 837D
BridgeSpan
Payer ID
BRIDG
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BridgeSpan BRIDG 837P
BridgeSpan
Payer ID
BRIDG
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BridgeSpan BRIDG 837I
BridgeSpan
Payer ID
BRIDG
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BridgeSpan BRIDG 835
BridgeSpan
Payer ID
BRIDGESPAN
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BridgeSpan BRIDGESPAN 276 / 277
BridgeSpan
Payer ID
BRIDGESPAN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BridgeSpan BRIDGESPAN 270 / 271
Bridgeview Company
Payer ID
FS802
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bridgeview Company FS802 835
Bridgeview Company
Payer ID
FS802
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bridgeview Company FS802 837P
Bridgeway Arizona
Payer ID
BRIDGE-AZ
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bridgeway Arizona BRIDGE-AZ 270 / 271
Bridgeway Health Solutions (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bridgeway Health Solutions (Centene) 68069 837P
Bridgeway Health Solutions (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bridgeway Health Solutions (Centene) 68069 837I
Bridgeway Health Solutions (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment forms will be listed under Centene Corporation.
Bridgeway Health Solutions (Centene) 68069 835
Bridgeway Health Solutions (Centene)
Payer ID
BRIDGEWAY
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bridgeway Health Solutions (Centene) BRIDGEWAY 276 / 277
Bridgeway Health Solutions (Centene)
Payer ID
BRIDGEWAY
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Bridgeway Health Solutions (Centene) BRIDGEWAY 270 / 271
Brighten Health Plan Solutions
Payer ID
11303
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Brighten Health Plan Solutions 11303 837P
Brighten Health Plan Solutions
Payer ID
11303
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Brighten Health Plan Solutions 11303 837I
Bristol Park Medical Group
Payer ID
MMFMC
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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The ERA enrollment form will be listed under "MemorialCare".
Bristol Park Medical Group MMFMC 837P
Bristol Park Medical Group
Payer ID
MMFMC
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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The ERA enrollment form will be listed under "MemorialCare".
Bristol Park Medical Group MMFMC 837I
Bristol Park Medical Group
Payer ID
MMFMC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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The ERA enrollment form will be listed under "MemorialCare".
Bristol Park Medical Group MMFMC 835
Bristol West
Payer ID
J1764
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
