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
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
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 DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 837I
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
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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View note
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Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 835
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
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 DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 837P
Fountain Valley Premier IPA
Payer ID
CAPMN
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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ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 837P
Fountain Valley Premier IPA
Payer ID
CAPMN
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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ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 837I
Fountain Valley Premier IPA
Payer ID
CAPMN
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 under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 835
Fox Valley Medicine Site 199
Payer ID
FVMCH
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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Fox Valley Medicine Site 199 FVMCH 837P
Fox Valley Medicine Site 199
Payer ID
FVMCH
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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Fox Valley Medicine Site 199 FVMCH 835
Fox Valley Medicine Site 199
Payer ID
FVMCH
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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Fox Valley Medicine Site 199 FVMCH 837I
Franciscan Alliance - CORVEL
Payer ID
J1883
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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Franciscan Alliance - CORVEL J1883 837P
Franciscan Alliance - CORVEL
Payer ID
J1883
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
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Franciscan Alliance - CORVEL J1883 837I
Franciscan Senior Health & Wellness
Payer ID
FSHW1
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.
Franciscan Senior Health & Wellness FSHW1 837P
Franciscan Senior Health & Wellness
Payer ID
FSHW1
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.
Franciscan Senior Health & Wellness FSHW1 835
Franciscan Senior Health & Wellness
Payer ID
FSHW1
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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Returns ERAs automatically once electronic submission begins.
Franciscan Senior Health & Wellness FSHW1 837I
Frankenmuth Mutual
Payer ID
J1440
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
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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.
Frankenmuth Mutual J1440 835
Frankenmuth Mutual
Payer ID
J1440
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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Frankenmuth Mutual J1440 837P
Frankenmuth Mutual
Payer ID
J1440
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
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Frankenmuth Mutual J1440 837I
Freedom Blue
Payer ID
15459
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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Freedom Blue 15459 835
Freedom Blue
Payer ID
15459
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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Freedom Blue 15459 837P
Freedom Claims Management
Payer ID
67136
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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Freedom Claims Management 67136 837I
Freedom Claims Management
Payer ID
67136
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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Freedom Claims Management 67136 837P
Freedom Health Incorporated
Payer ID
FREEDOM-HEALTH-INC
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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Freedom Health Incorporated FREEDOM-HEALTH-INC 270 / 271
Freedom Health Plan
Payer ID
41212
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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Freedom Health Plan 41212 837I
Freedom Health Plan
Payer ID
41212
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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Freedom Health Plan 41212 835
Freedom Health Plan
Payer ID
41212
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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Freedom Health Plan 41212 837P
Freedom Health Plan
Payer ID
FREEDOM-HEALTH-PLAN
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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Freedom Health Plan FREEDOM-HEALTH-PLAN 270 / 271
Freedom Life Insurance Company
Payer ID
62324
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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Freedom Life Insurance Company 62324 837P
Freedom Life Insurance Company
Payer ID
62324
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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Freedom Life Insurance Company 62324 837I
Freedom Life Insurance Company
Payer ID
FLIC
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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Freedom Life Insurance Company FLIC 270 / 271
Fresno PACE
Payer ID
99660
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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Fresno PACE 99660 837I
Fresno PACE
Payer ID
99660
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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Fresno PACE 99660 837P
Friday Health Plans
Payer ID
H0657
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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Friday Health Plans H0657 837P
Friday Health Plans
Payer ID
H0657
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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Friday Health Plans H0657 835
Friday Health Plans
Payer ID
H0657
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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Friday Health Plans H0657 837I
Friedkin Companies, Inc - CORVEL
Payer ID
J1984
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
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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.
Friedkin Companies, Inc - CORVEL J1984 835
Friedkin Companies, Inc - CORVEL
Payer ID
J1984
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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Friedkin Companies, Inc - CORVEL J1984 837I
Friedkin Companies, Inc - CORVEL
Payer ID
J1984
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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Friedkin Companies, Inc - CORVEL J1984 837P
Fringe Benefit Coordinators
Payer ID
A3390
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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ID card information should be used to determine the appropriate payer ID. In the absence of an ID, payer IDs are considered interchangeable.
Fringe Benefit Coordinators A3390 837I
Fringe Benefit Coordinators
Payer ID
A3390
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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ID card information should be used to determine the appropriate payer ID. In the absence of an ID, payer IDs are considered interchangeable.
Fringe Benefit Coordinators A3390 837P
Fringe Benefit Group
Payer ID
93158
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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Fringe Benefit Group 93158 837P
Fringe Benefit Group
Payer ID
93158
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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Fringe Benefit Group 93158 837I
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin)
Payer ID
45289
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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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin) 45289 837P
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin)
Payer ID
45289
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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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Austin) 45289 837I
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston)
Payer ID
74212
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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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston) 74212 837P
Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston)
Payer ID
74212
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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Fringe Benefit Group Inc (Employer Plan Services, Inc. - Houston) 74212 837I
Fringe Benefits
Payer ID
23243
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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ID card information should be used to determine the appropriate payer ID. In the absence of an ID, payer IDs are considered interchangeable.
Fringe Benefits 23243 837I
Fringe Benefits
Payer ID
23243
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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ID card information should be used to determine the appropriate payer ID. In the absence of an ID, payer IDs are considered interchangeable.
Fringe Benefits 23243 837P
Fringe Benefits Coordinators
Payer ID
59204
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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Fringe Benefits Coordinators 59204 837P
Fringe Benefits Coordinators
Payer ID
59204
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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Fringe Benefits Coordinators 59204 835
Fringe Benefits Coordinators
Payer ID
59204
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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Fringe Benefits Coordinators 59204 837I
Frontier Direct
Payer ID
IHS14
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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Frontier Direct IHS14 837P
Frontier Direct
Payer ID
IHS14
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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Frontier Direct IHS14 837I
FrontPath Health Coalition
Payer ID
34171
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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FrontPath Health Coalition 34171 837I
FrontPath Health Coalition
Payer ID
34171
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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FrontPath Health Coalition 34171 837P
Futurecomp
Payer ID
J3353
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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Futurecomp J3353 837P
Futurecomp
Payer ID
J3353
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
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Hide note
Payer returns ERAs for rejected claims only. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Futurecomp J3353 835
Futurecomp
Payer ID
J3353
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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Futurecomp J3353 837I
FutureComp (Rising Medical Solutions)
Payer ID
LT795
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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FutureComp (Rising Medical Solutions) LT795 837I
FutureComp (Rising Medical Solutions)
Payer ID
LT795
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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FutureComp (Rising Medical Solutions) LT795 837P
Gallagher Bassett Services, Inc.
Payer ID
TP057
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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Gallagher Bassett Services, Inc. TP057 837I
Gallagher Bassett Services, Inc.
Payer ID
TP057
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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Gallagher Bassett Services, Inc. TP057 837P
Galveston County Indigent Health Care
Payer ID
30005
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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Galveston County Indigent Health Care 30005 837P
Galveston County Indigent Health Care
Payer ID
30005
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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Galveston County Indigent Health Care 30005 837I
Garden State Life Insurance Company
Payer ID
GARDEN-STATE
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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Garden State Life Insurance Company GARDEN-STATE 270 / 271
Garretson Resolution Group
Payer ID
GARET
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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Garretson Resolution Group GARET 837P
Gary and Mary West Pace
Payer ID
GMWP1
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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Gary and Mary West Pace GMWP1 837I
Gary and Mary West Pace
Payer ID
GMWP1
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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Gary and Mary West Pace GMWP1 837P
Gateway Health Plan
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan 25169 837P
Gateway Health Plan
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan 25169 837I
Gateway Health Plan
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan 25169 835
Gateway Health Plan
Payer ID
GATHP
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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Gateway Health Plan GATHP 270 / 271
Gateway Health Plan (Medicaid PA)
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan (Medicaid PA) 25169 837P
Gateway Health Plan (Medicaid PA)
Payer ID
GATEWAY-PAMCD
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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Gateway Health Plan (Medicaid PA) GATEWAY-PAMCD 270 / 271
Gateway Health Plan (Medicaid PA)
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan (Medicaid PA) 25169 835
Gateway Health Plan (Medicaid PA)
Payer ID
25169
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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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan (Medicaid PA) 25169 837I
Gateway Health Plan - Medicare Assured
Payer ID
60550
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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When enrolling for 60550 ERAs, you must also enroll under 25169, 91741, 45276, and 47181.
Gateway Health Plan - Medicare Assured 60550 837I
Gateway Health Plan - Medicare Assured
Payer ID
60550
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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When enrolling for 60550 ERAs, you must also enroll under 25169, 91741, 45276, and 47181.
Gateway Health Plan - Medicare Assured 60550 837P
Gateway Health Plan - Medicare Assured
Payer ID
GATEWAY-MEDA
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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Gateway Health Plan - Medicare Assured GATEWAY-MEDA 270 / 271
Gateway Health Plan - Medicare Assured
Payer ID
60550
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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When enrolling for 60550 ERAs, you must also enroll under 25169, 91741, 45276, and 47181.
Gateway Health Plan - Medicare Assured 60550 835
Gateway IPA (Pinnacle Health Resource)
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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Gateway IPA (Pinnacle Health Resource) PROSP 835
Gateway IPA (Pinnacle Health Resources)
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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Gateway IPA (Pinnacle Health Resources) PROSP 837I
Gateway IPA (Pinnacle Health Resources)
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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Gateway IPA (Pinnacle Health Resources) PROSP 837P
Gateway to Better Health Plan - MO Medicaid Plan FFS
Payer ID
4317M
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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Gateway to Better Health Plan - MO Medicaid Plan FFS 4317M 837I
Gateway to Better Health Plan - MO Medicaid Plan FFS
Payer ID
4317M
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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Gateway to Better Health Plan - MO Medicaid Plan FFS 4317M 837P
