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
Hershey Healthsmile
Payer ID
CX013
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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Hershey Healthsmile CX013 837D
HHS National Disaster Medical System-Apprio
Payer ID
NDMSA
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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HHS National Disaster Medical System-Apprio NDMSA 837P
HHS National Disaster Medical System-Apprio
Payer ID
NDMSA
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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HHS National Disaster Medical System-Apprio NDMSA 837I
High Desert Medical Group (Regal)
Payer ID
HDMDG
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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Lancaster, California.
High Desert Medical Group (Regal) HDMDG 837P
High Desert Medical Group (Regal)
Payer ID
HDMDG
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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Lancaster, California.
High Desert Medical Group (Regal) HDMDG 837I
Highline MSO - Molina
Payer ID
91164
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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Highline MSO - Molina 91164 837P
Highline MSO - Molina
Payer ID
91164
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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Highline MSO - Molina 91164 837I
Highmark Health Options
Payer ID
47181
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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For claims with DOS on or after 1/1/2015. When enrolling for 47181 ERAs, you must also enroll under 25169, 60550, 91741, and 45276.
Highmark Health Options 47181 837P
Highmark Health Options
Payer ID
47181
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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For claims with DOS on or after 1/1/2015. When enrolling for 47181 ERAs, you must also enroll under 25169, 60550, 91741, and 45276.
Highmark Health Options 47181 837I
Highmark Health Options
Payer ID
47181
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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For claims with DOS on or after 1/1/2015. When enrolling for 47181 ERAs, you must also enroll under 25169, 60550, 91741, and 45276.
Highmark Health Options 47181 835
Highmark Health Options
Payer ID
HHO
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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Highmark Health Options HHO 270 / 271
Highmark Health Options
Payer ID
HHO
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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Highmark Health Options HHO 276 / 277
Highmark Health Options Dual
Payer ID
47183
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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Highmark Health Options Dual 47183 837I
Highmark Health Options Dual
Payer ID
47183
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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Highmark Health Options Dual 47183 837P
Highmark Health Options West Virginia
Payer ID
RP118
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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Highmark Health Options West Virginia RP118 835
Highmark Health Options West Virginia
Payer ID
RP118
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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Highmark Health Options West Virginia RP118 837I
Highmark Health Options West Virginia
Payer ID
RP118
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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Highmark Health Options West Virginia RP118 837P
Highmark Senior - Freedom Blue PPO (Pennsylvania)
Payer ID
15460
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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For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
Highmark Senior - Freedom Blue PPO (Pennsylvania) 15460 837P
Highmark Senior - Freedom Blue PPO (Pennsylvania)
Payer ID
15460
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
Highmark Senior - Freedom Blue PPO (Pennsylvania) 15460 835
Highmark Senior Health Company (Pennsylvania)
Payer ID
15460
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
Highmark Senior Health Company (Pennsylvania) 15460 835
Highmark Senior Health Company (Pennsylvania)
Payer ID
15460
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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For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
Highmark Senior Health Company (Pennsylvania) 15460 837P
Highmark Senior Health Company (Pennsylvania) Institutional
Payer ID
SHCPAI
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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Highmark Senior Health Company (Pennsylvania) Institutional SHCPAI 270 / 271
Highmark Senior Health Company (Pennsylvania) Professional
Payer ID
SHCPAP
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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Highmark Senior Health Company (Pennsylvania) Professional SHCPAP 270 / 271
Highmark Senior Solutions Company - West Virginia
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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For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
Highmark Senior Solutions Company - West Virginia 15459 837P
Highmark Senior Solutions Company - West Virginia
Payer ID
15459
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
Highmark Senior Solutions Company - West Virginia 15459 835
Highview National Insurance Company
Payer ID
J4589
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.
Highview National Insurance Company J4589 837P
Hill Physicians Aetna PPO
Payer ID
HLPAE
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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Hill Physicians Aetna PPO HLPAE 837P
Hill Physicians Blue Cross PPO
Payer ID
HLPBC
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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Hill Physicians Blue Cross PPO HLPBC 837P
Hill Physicians Blue Shield PPO
Payer ID
HLPBS
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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Hill Physicians Blue Shield PPO HLPBS 837P
Hill Physicians Cigna PPO
Payer ID
HLPCG
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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Hill Physicians Cigna PPO HLPCG 837P
Hill Physicians Health Net PPO
Payer ID
HLPHN
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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Hill Physicians Health Net PPO HLPHN 837P
Hill Physicians Medical Group (HPMG)
Payer ID
HIL01
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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Institutional claims are accepted, but only for DOS on/after 5/31/16.
Hill Physicians Medical Group (HPMG) HIL01 837P
Hill Physicians Medical Group (HPMG)
Payer ID
HIL01
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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Institutional claims are accepted, but only for DOS on/after 5/31/16.
Hill Physicians Medical Group (HPMG) HIL01 837I
Hill Physicians Medical Group (HPMG)
Payer ID
HIL01
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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Institutional claims are accepted, but only for DOS on/after 5/31/16.
Hill Physicians Medical Group (HPMG) HIL01 835
Hill Physicians United Healthcare PPO
Payer ID
HLPUH
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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Hill Physicians United Healthcare PPO HLPUH 837P
Hill UHCSR PPO
Payer ID
HPU22
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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Hill UHCSR PPO HPU22 837P
Hilliard Corporation (UCS)
Payer ID
80520
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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Hilliard Corporation (UCS) 80520 837P
Hilliard Corporation (UCS)
Payer ID
80520
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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Hilliard Corporation (UCS) 80520 837I
Hillshire Brands - CORVEL
Payer ID
J1959
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.
Hillshire Brands - CORVEL J1959 837P
Hilmar Cheese Company - CORVEL
Payer ID
J1833
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. At this time, only Professional (HCFA) claims are accepted.
Hilmar Cheese Company - CORVEL J1833 837P
Hinsdale Physicians Healthcare
Payer ID
37105
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 payer Sage Technologies.
Hispanic Physicians IPA (Fee For Service Only) HPFFS 837P
HK Administrative Partners LLC
Payer ID
97455
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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HK Administrative Partners LLC 97455 837P
HMA Hawaii
Payer ID
HMA-HI
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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HMA Hawaii HMA-HI 270 / 271
HMA Hawaii
Payer ID
HMA-HI
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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HMA Hawaii HMA-HI 276 / 277
HMC HealthWorks
Payer ID
75318
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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HMC HealthWorks 75318 837P
HMC HealthWorks
Payer ID
75318
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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HMC HealthWorks 75318 837I
HMO LA Blue Advantage
Payer ID
72107
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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For DOS on or after 1/1/2021.
HMO LA Blue Advantage 72107 837P
HMO LA Blue Advantage
Payer ID
72107
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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For DOS on or after 1/1/2021.
HMO LA Blue Advantage 72107 837I
HMO LA Blue Advantage
Payer ID
72107
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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For DOS on or after 1/1/2021. ERA Enrollment is completed under BCBS of Louisiana (53120)
HMO LA Blue Advantage 72107 835
HMO LA Blue Advantage
Payer ID
LABLUE-ADV
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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HMO LA Blue Advantage LABLUE-ADV 270 / 271
HMO Louisiana Blue Advantage
Payer ID
84555
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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For DOS prior to 1/1/2021.
HMO Louisiana Blue Advantage 84555 835
HMS Vineyards - CORVEL
Payer ID
J3924
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. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
HMS Vineyards - CORVEL J3924 837P
HMSA Quest
Payer ID
HMSA1
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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HMSA Quest HMSA1 837P
HMSA Quest
Payer ID
HMSA1
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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HMSA Quest HMSA1 837I
HMSA Quest
Payer ID
HMSA1
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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HMSA Quest HMSA1 837D
HMSA Quest
Payer ID
HMSA1
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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HMSA Quest HMSA1 835
HMSHost - CORVEL
Payer ID
J1612
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. At this time, only Professional (HCFA) claims are accepted.
HMSHost - CORVEL J1612 837P
HN1 Therapy Network
Payer ID
65062
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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HN1 Therapy Network 65062 837P
HN1 Therapy Network
Payer ID
65062
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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HN1 Therapy Network 65062 835
HNS WellCare SC
Payer ID
HWC02
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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HNS WellCare SC HWC02 837P
Hoag Affiliated Physicians
Payer ID
STJOE
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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Hoag Affiliated Physicians STJOE 837P
Hoag Affiliated Physicians
Payer ID
STJOE
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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Hoag Affiliated Physicians STJOE 837I
Hoag Clinic (Hoag Physician Partners)
Payer ID
HPPZZ
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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Effective 1/1/2020.
Hoag Clinic (Hoag Physician Partners) HPPZZ 837P
Hoag Clinic (Hoag Physician Partners)
Payer ID
HPPZZ
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 1/1/2020.
Hoag Clinic (Hoag Physician Partners) HPPZZ 837I
Hockenberg Equipment
Payer ID
59573
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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Hockenberg Equipment 59573 837P
Hockenberg Equipment
Payer ID
59573
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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Hockenberg Equipment 59573 837I
Holista, LLC
Payer ID
ATHAL
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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Holista, LLC ATHAL 837P
Holista, LLC
Payer ID
ATHAL
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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Holista, LLC ATHAL 837I
Hollywood Pres GLOBAL
Payer ID
MPM29
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.
Hollywood Pres GLOBAL MPM29 837P
Hollywood Pres GLOBAL
Payer ID
MPM29
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.
Hollywood Pres GLOBAL MPM29 837I
Hollywood Presbyterian Medical Center - Preferred (HPMC - PMG)
Payer ID
AMM18
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 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - Preferred).
Hollywood Presbyterian Medical Center - Preferred (HPMC - PMG) AMM18 837I
Hollywood Presbyterian Medical Center - Preferred (HPMC - PMG)
Payer ID
AMM18
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 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - Preferred).
Hollywood Presbyterian Medical Center - Preferred (HPMC - PMG) AMM18 837P
Hollywood Presbyterian Medical Center - San Judas IPA (HPMC - SJM)
Payer ID
AMM17
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 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - San Judas IPA).
Hollywood Presbyterian Medical Center - San Judas IPA (HPMC - SJM) AMM17 837P
Hollywood Presbyterian Medical Center - San Judas IPA (HPMC - SJM)
Payer ID
AMM17
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 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - San Judas IPA).
Hollywood Presbyterian Medical Center - San Judas IPA (HPMC - SJM) AMM17 837I
Hollywood Presbyterian Medical Center - St. Vincent's IPA (HPMC - SVI)
Payer ID
PDT02
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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Previous Payer ID AMM19.
Hollywood Presbyterian Medical Center - St. Vincent's IPA (HPMC - SVI) PDT02 837P
Hollywood Presbyterian Medical Center - St. Vincent's IPA (HPMC - SVI)
Payer ID
PDT02
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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Previous Payer ID AMM19.
Hollywood Presbyterian Medical Center - St. Vincent's IPA (HPMC - SVI) PDT02 837I
Hollywood Presbyterian Medical Group
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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Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.
Hollywood Presbyterian Medical Group CAPMN 837I
Hollywood Presbyterian Medical Group
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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Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.
Hollywood Presbyterian Medical Group CAPMN 837P
Hollywood Presbyterian Medical Group
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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Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.
Hollywood Presbyterian Medical Group CAPMN 835
Hollywood Presbyterian San Judas
Payer ID
MPM49
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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Hollywood Presbyterian San Judas MPM49 837I
Hollywood Presbyterian San Judas
Payer ID
MPM49
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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Hollywood Presbyterian San Judas MPM49 837P
Home State (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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Home State (Centene) 68069 837P
Home State (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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Home State (Centene) 68069 837I
Home State (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.
Home State (Centene) 68069 835
Home State Health Plan (Centene)
Payer ID
HOMESTATE
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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Home State Health Plan (Centene) HOMESTATE 270 / 271
Home State Health Plan (Centene)
Payer ID
HOMESTATE
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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Home State Health Plan (Centene) HOMESTATE 276 / 277
Homeland Security (AKA ICE Health)
Payer ID
VAICE
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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TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.
Homeland Security (AKA ICE Health) VAICE 837P
Homeland Security (AKA ICE Health)
Payer ID
VAICE
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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TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.
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