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
BS California - FEP
Payer ID
BS001
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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BS California - FEP BS001 835
BS California Promise Health Plan
Payer ID
C1SCA
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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Previously Care1st Health Plan of California.
BS California Promise Health Plan C1SCA 837I
BS California Promise Health Plan
Payer ID
C1SCA
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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Previously Care1st Health Plan of California.
BS California Promise Health Plan C1SCA 835
BS California Promise Health Plan
Payer ID
C1SCA
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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Previously Care1st Health Plan of California.
BS California Promise Health Plan C1SCA 837P
BS California Promise Health Plan Encounters
Payer ID
EC1CA
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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Reach out to the payer prior to submitting claims. (800) 468-9935
BS California Promise Health Plan Encounters EC1CA 837P
BS California Promise Health Plan Encounters
Payer ID
EC1CA
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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Reach out to the payer prior to submitting claims. (800) 468-9935
BS California Promise Health Plan Encounters EC1CA 837I
BSI Companies
Payer ID
25916
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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BSI Companies 25916 837P
BSI Companies
Payer ID
25916
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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BSI Companies 25916 837I
BS Idaho (Regence)
Payer ID
00611
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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BS Idaho (Regence) 00611 270 / 271
BS Idaho (Regence)
Payer ID
00611
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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BS Idaho (Regence) 00611 276 / 277
BS Northeastern New York
Payer ID
BSNY-NE
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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BS Northeastern New York BSNY-NE 270 / 271
BS Pennsylvania (Camp Hill)
Payer ID
99996
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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Provider will need to register with them and inform them that EDI Health group is their clearinghouse 800-633-5430 opt 0)
BS Pennsylvania (Camp Hill) 99996 837D
BS Washington (Regence)
Payer ID
00932
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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BS Washington (Regence) 00932 276 / 277
BS Washington (Regence)
Payer ID
00932
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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BS Washington (Regence) 00932 270 / 271
Buckeye Community Health (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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Buckeye Community Health (Centene) 68069 837P
Buckeye Community Health (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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Buckeye Community Health (Centene) 68069 837I
Buckeye Community Health (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.
Buckeye Community Health (Centene) 68069 835
Buckeye Community Health (Centene)
Payer ID
BUCKEYE-CH
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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Buckeye Community Health (Centene) BUCKEYE-CH 276 / 277
Buckeye Community Health (Centene)
Payer ID
BUCKEYE-CH
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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Buckeye Community Health (Centene) BUCKEYE-CH 270 / 271
Buckeye Next Generation MyCare Ohio
Payer ID
21583
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 instructions can be found under Medicaid OH
Buckeye Next Generation MyCare Ohio 21583 835
Buckeye Next Generation MyCare Ohio
Payer ID
21583
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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Buckeye Next Generation MyCare Ohio 21583 837I
Buckeye Next Generation MyCare Ohio
Payer ID
21583
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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Buckeye Next Generation MyCare Ohio 21583 837P
Buckeye Ohio Medicaid
Payer ID
42020
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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Buckeye Ohio Medicaid 42020 837I
Buckeye Ohio Medicaid
Payer ID
42020
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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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.
Buckeye Ohio Medicaid 42020 835
Buckeye Ohio Medicaid
Payer ID
42020
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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Buckeye Ohio Medicaid 42020 837P
Buckeye Ohio Medicaid
Payer ID
BUCKEYE-OHMCD
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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Buckeye Ohio Medicaid BUCKEYE-OHMCD 270 / 271
BuenaVentura Affiliated Physicians
Payer ID
BVAP1
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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BuenaVentura Affiliated Physicians BVAP1 837I
BuenaVentura Affiliated Physicians
Payer ID
BVAP1
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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BuenaVentura Affiliated Physicians BVAP1 837P
BuenaVentura Affiliated Physicians
Payer ID
BVAP1
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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BuenaVentura Affiliated Physicians BVAP1 837I
BuenaVentura Affiliated Physicians
Payer ID
BVAP1
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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BuenaVentura Affiliated Physicians BVAP1 837P
Buffalo Independent School District
Payer ID
J4733
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.
Buffalo Independent School District J4733 837P
Buffalo Independent School District
Payer ID
J4733
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
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.
Buffalo Independent School District J4733 835
Buffalo Independent School District
Payer ID
J4733
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
View note
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Buffalo Independent School District J4733 837I
Builders Insurance Group (GA only)
Payer ID
J3975
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 & Auto
View note
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Workers Comp and Auto.
Builders Insurance Group (GA only) J3975 837P
Builders Mutual Insurance
Payer ID
J1968
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 & Auto
View note
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Builders Mutual Insurance J1968 837P
Builders Mutual Insurance
Payer ID
J1968
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
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.
Builders Mutual Insurance J1968 835
Builders Mutual Insurance
Payer ID
J1968
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 & Auto
View note
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Builders Mutual Insurance J1968 837I
Bunch and Associates
Payer ID
J1435
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
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Bunch and Associates J1435 837P
Bunch and Associates
Payer ID
J1435
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
View note
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Bunch and Associates J1435 837I
Bunch and Associates
Payer ID
J1435
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
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.
Bunch and Associates J1435 835
Bureau For Children With Medical Handicaps
Payer ID
BCMH1
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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Bureau For Children With Medical Handicaps BCMH1 837P
Bureau Of Prisons-Apprio
Payer ID
BOPMC
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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Bureau Of Prisons-Apprio BOPMC 837P
Bureau Of Prisons-Apprio
Payer ID
BOPMC
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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View note
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Bureau Of Prisons-Apprio BOPMC 837I
Bureau Of Prisons-Apprio
Payer ID
BOPMC
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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View note
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Bureau Of Prisons-Apprio BOPMC 837I
Bureau Of Prisons-Apprio
Payer ID
BOPMC
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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Bureau Of Prisons-Apprio BOPMC 837P
Burlington Coat Factory Warehouse
Payer ID
J1033
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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Burlington Coat Factory Warehouse J1033 837P
Burlington Coat Factory Warehouse
Payer ID
J1033
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
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.
Burlington Coat Factory Warehouse J1033 835
Burlington Coat Factory Warehouse
Payer ID
J1033
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
View note
Hide note
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Burlington Coat Factory Warehouse J1033 837I
Burlington Coat Factory Warehouse
Payer ID
J1033
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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Burlington Coat Factory Warehouse J1033 837P
Business Administrators & Consultants, Inc.
Payer ID
49984
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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Business Administrators & Consultants, Inc. 49984 837I
Business Administrators & Consultants, Inc.
Payer ID
49984
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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Business Administrators & Consultants, Inc. 49984 837P
Business First
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
View note
Hide note
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Business First J1437 837P
Business First
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
View note
Hide note
View note
Hide note
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.
Business First J1437 835
Business First
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
View note
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Business First J1437 837I
Businessmens Assurance
Payer ID
61301
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Businessmens Assurance 61301 837D
Butler America Holdings, INC.- Corvel - CORVEL
Payer ID
J3860
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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Butler America Holdings, INC.- Corvel - CORVEL J3860 837P
Butler America Holdings, INC.- Corvel - CORVEL
Payer ID
J3860
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
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.
Butler America Holdings, INC.- Corvel - CORVEL J3860 835
Butler America Holdings, INC.- Corvel - CORVEL
Payer ID
J3860
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
View note
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Butler America Holdings, INC.- Corvel - CORVEL J3860 837I
Butler Benefit
Payer ID
42150
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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Butler Benefit 42150 837P
Butler Benefit
Payer ID
42150
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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Butler Benefit 42150 837I
Caduceus Medical Group (Regal)
Payer ID
REGAL
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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Caduceus Medical Group (Regal) REGAL 837P
Caduceus Medical Group (Regal)
Payer ID
REGAL
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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Caduceus Medical Group (Regal) REGAL 837I
Cahaba GBA (Medicare Part A Rural)
Payer ID
10301
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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All States. Formerly known as Riverbend. EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Cahaba GBA (Medicare Part A Rural) 10301 835
Cahaba GBA (Medicare Part A Rural)
Payer ID
10301
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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All States. Formerly known as Riverbend. EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Cahaba GBA (Medicare Part A Rural) 10301 837I
Cal Care IPA
Payer ID
PROSP
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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Cal Care IPA PROSP 835
Cal Care IPA
Payer ID
PROSP
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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Cal Care IPA PROSP 837P
Cal Care IPA
Payer ID
PROSP
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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Cal Care IPA PROSP 837I
Cal Care IPA Encounters
Payer ID
PROSP
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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Cal Care IPA Encounters PROSP 837P
Cal Care IPA Encounters
Payer ID
PROSP
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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Cal Care IPA Encounters PROSP 837I
Cal Care IPA Encounters
Payer ID
PROSP
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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Cal Care IPA Encounters PROSP 835
Calhoun County
Payer ID
J4736
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.
Calhoun County J4736 837P
Calhoun County
Payer ID
J4736
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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Calhoun County J4736 837I
Calhoun County
Payer ID
J4736
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.
Calhoun County J4736 835
California Care (Humboldt Del Norte)
Payer ID
HDNFC
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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California Care (Humboldt Del Norte) HDNFC 837P
California Care (Humboldt Del Norte)
Payer ID
HDNFC
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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California Care (Humboldt Del Norte) HDNFC 837I
California Eye Care
Payer ID
CEC01
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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California Eye Care CEC01 837P
California Fair Services Authority
Payer ID
J1535
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.
California Fair Services Authority J1535 837P
California Fair Services Authority
Payer ID
J1535
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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California Fair Services Authority J1535 837I
California Fair Services Authority
Payer ID
J1535
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.
California Fair Services Authority J1535 835
California Health and Wellness
Payer ID
68047
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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Please verify Payer ID listed on Patient ID card prior to submission.
California Health and Wellness 68047 837P
California Health and Wellness
Payer ID
68047
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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Please verify Payer ID listed on Patient ID card prior to submission.
California Health and Wellness 68047 837I
California Health and Wellness
Payer ID
68047
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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Please verify Payer ID listed on Patient ID card prior to submission.
California Health and Wellness 68047 835
California Health and Wellness (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.
California Health and Wellness (Centene) 68069 835
California Health and Wellness (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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California Health and Wellness (Centene) 68069 837P
California Health and Wellness (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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California Health and Wellness (Centene) 68069 837I
California Health and Wellness (Centene)
Payer ID
CAHLTH
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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California Health and Wellness (Centene) CAHLTH 276 / 277
California Health and Wellness (Centene)
Payer ID
CAHLTH
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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California Health and Wellness (Centene) CAHLTH 270 / 271
California Hospital Medical Center
Payer ID
HSM01
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 9/1/22
California Hospital Medical Center HSM01 837P
California Hospital Medical Center
Payer ID
HSM01
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 9/1/22
California Hospital Medical Center HSM01 837I
California Insurance Guarantee Associates
Payer ID
J1532
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 & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
California Insurance Guarantee Associates J1532 837P
California IPA (Capital MSO)
Payer ID
CTPL1
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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Previously handled under Payer ID AMM14
California IPA (Capital MSO) CTPL1 837P
California IPA (Capital MSO)
Payer ID
CTPL1
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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Previously handled under Payer ID AMM14
California IPA (Capital MSO) CTPL1 837I
California Medical Center
Payer ID
MPM28
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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California Medical Center MPM28 837P
California Medical Center
Payer ID
MPM28
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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California Medical Center MPM28 837I
California Pacific Medical Center (CPMC)
Payer ID
SC053
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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California Pacific Medical Center (CPMC) SC053 837P
California Pacific Medical Center (CPMC)
Payer ID
SC053
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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California Pacific Medical Center (CPMC) SC053 837I
California Pacific Medical Center (CPMC)
Payer ID
SC053
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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California Pacific Medical Center (CPMC) SC053 835
California Pacific Physicians Medical Group, Inc.
Payer ID
HSM01
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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California Pacific Physicians Medical Group, Inc. HSM01 837P
California Pacific Physicians Medical Group, Inc.
Payer ID
HSM01
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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California Pacific Physicians Medical Group, Inc. HSM01 837I
California Rural Indian Health Board (CRIHB) Cares
Payer ID
CRIHB
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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CRIHB Requires a signed agreement before claims can be submitted. Please contact crihbcare@crihb.org to get the process started.
California Rural Indian Health Board (CRIHB) Cares CRIHB 837I
