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
Health Source MSO
Payer ID
HSMSO
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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Health Source MSO HSMSO 837P
Health Source MSO
Payer ID
HSMSO
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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Health Source MSO HSMSO 837I
Health Special Risk, Inc.
Payer ID
65449
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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Health Special Risk, Inc. 65449 837P
Health Special Risk, Inc.
Payer ID
65449
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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Health Special Risk, Inc. 65449 837I
Healthspring (HCSC)
Payer ID
HEALTHSPRING
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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Healthspring (HCSC) HEALTHSPRING 270 / 271
Healthspring (HCSC)
Payer ID
HEALTHSPRING
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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Healthspring (HCSC) HEALTHSPRING 276 / 277
Healthsun Health Plan
Payer ID
HESUN
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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Healthsun Health Plan HESUN 837P
Healthsun Health Plan
Payer ID
HESUN
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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Healthsun Health Plan HESUN 837I
Health Systems International - ECOH
Payer ID
27008
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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Health Systems International - ECOH 27008 837P
Health Systems International - ECOH
Payer ID
27008
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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Health Systems International - ECOH 27008 837I
HealthTeam Advantage
Payer ID
88250
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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Claims for DOS After 7/1/2018. Payer returns ERA's automatically once electronic claim submission begins.
HealthTeam Advantage 88250 837P
HealthTeam Advantage
Payer ID
88250
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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Claims for DOS After 7/1/2018. Payer returns ERA's automatically once electronic claim submission begins.
HealthTeam Advantage 88250 837I
HealthTeam Advantage
Payer ID
88250
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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Claims for DOS After 7/1/2018.
HealthTeam Advantage 88250 835
HealthTeam Advantage
Payer ID
HTADV
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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HealthTeam Advantage HTADV 270 / 271
Health Texas Medical Group
Payer ID
HTHTX
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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Health Texas Medical Group HTHTX 837I
Health Texas Medical Group
Payer ID
HTHTX
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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Health Texas Medical Group HTHTX 837P
Healthways WholeHealth Network
Payer ID
58213
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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Healthways WholeHealth Network 58213 837P
Healthy Blue Dual Advantage Louisiana
Payer ID
00551
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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Healthy Blue Dual Advantage Louisiana 00551 837I
Healthy Blue Dual Advantage Louisiana
Payer ID
00551
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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Healthy Blue Dual Advantage Louisiana 00551 837P
Healthy Blue Dual Advantage Louisiana
Payer ID
HEALTHY-BLUE-DA-LA
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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Healthy Blue Dual Advantage Louisiana HEALTHY-BLUE-DA-LA 276 / 277
Healthy Blue Dual Advantage Louisiana
Payer ID
HEALTHY-BLUE-DA-LA
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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Healthy Blue Dual Advantage Louisiana HEALTHY-BLUE-DA-LA 270 / 271
Healthy Blue Kansas
Payer ID
00047
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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Healthy Blue Kansas 00047 837I
Healthy Blue Kansas
Payer ID
00047
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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Healthy Blue Kansas 00047 837P
Healthy Blue Kansas
Payer ID
00047
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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Healthy Blue Kansas 00047 835
Healthy Blue LA
Payer ID
00661
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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Former Payer ID: 16730. Effective 9/1/17, Amerigroup Louisiana is now Healthy Blue.
Healthy Blue LA 00661 837P
Healthy Blue LA
Payer ID
00661
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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Former Payer ID: 16730. Effective 9/1/17, Amerigroup Louisiana is now Healthy Blue.
Healthy Blue LA 00661 837I
Healthy Blue LA
Payer ID
00661
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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Former Payer ID: 16730. Effective 9/1/17, Amerigroup Louisiana is now Healthy Blue.
Healthy Blue LA 00661 835
Healthy Blue LA
Payer ID
HEALTHY-BLUE-LA
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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Healthy Blue LA HEALTHY-BLUE-LA 276 / 277
Healthy Blue LA
Payer ID
HEALTHY-BLUE-LA
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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Healthy Blue LA HEALTHY-BLUE-LA 270 / 271
Healthy Blue Missouri
Payer ID
00541
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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Healthy Blue Missouri 00541 837P
Healthy Blue Missouri
Payer ID
00541
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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Healthy Blue Missouri 00541 837I
Healthy Blue Missouri
Payer ID
00541
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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Healthy Blue Missouri 00541 835
Healthy Blue Missouri
Payer ID
HEALTHY-BLUE-MO
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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Healthy Blue Missouri HEALTHY-BLUE-MO 276 / 277
Healthy Blue Missouri
Payer ID
HEALTHY-BLUE-MO
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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Healthy Blue Missouri HEALTHY-BLUE-MO 270 / 271
Healthy Blue Nebraska
Payer ID
HEALTHY-BLUE-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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Healthy Blue Nebraska HEALTHY-BLUE-NE 270 / 271
Healthy Blue North Carolina
Payer ID
00602
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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Healthy Blue North Carolina 00602 837I
Healthy Blue North Carolina
Payer ID
00602
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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Healthy Blue North Carolina 00602 835
Healthy Blue North Carolina
Payer ID
00602
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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Healthy Blue North Carolina 00602 837P
Healthy Blue North Carolina
Payer ID
HEALTHY-BLUE-NC
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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Healthy Blue North Carolina HEALTHY-BLUE-NC 276 / 277
Healthy Blue North Carolina
Payer ID
HEALTHY-BLUE-NC
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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Healthy Blue North Carolina HEALTHY-BLUE-NC 270 / 271
Healthy Blue South Carolina
Payer ID
00403
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 can be found under BCBS of South Carolina.
Healthy Blue South Carolina 00403 837P
Healthy Blue South Carolina
Payer ID
00403
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 can be found under BCBS of South Carolina.
Healthy Blue South Carolina 00403 835
Healthy Blue South Carolina
Payer ID
HEALTHY-BLUE-SC
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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Healthy Blue South Carolina HEALTHY-BLUE-SC 270 / 271
Healthy Families Program
Payer ID
CPPCA
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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Healthy Families Program CPPCA 837D
Healthy Mississippi
Payer ID
99914
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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Healthy Mississippi 99914 837I
Healthy Mississippi
Payer ID
99914
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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Healthy Mississippi 99914 837P
Healthy Montana Kids (HMK)
Payer ID
BCSMT
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 form can be found under Blue Cross Blue Shield Montana.
Healthy Montana Kids (HMK) BCSMT 837P
Healthy Montana Kids (HMK)
Payer ID
BCSMT
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 form can be found under Blue Cross Blue Shield Montana.
Healthy Montana Kids (HMK) BCSMT 837I
Healthy Montana Kids (HMK)
Payer ID
BCSMT
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 form can be found under Blue Cross Blue Shield Montana.
Healthy Montana Kids (HMK) BCSMT 835
Healthy New Life Corp
Payer ID
MSC92
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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Healthy New Life Corp MSC92 837I
Healthy New Life Corp
Payer ID
MSC92
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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Healthy New Life Corp MSC92 837P
Health York Network
Payer ID
22251
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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Health York Network 22251 837P
Health York Network
Payer ID
22251
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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Health York Network 22251 837I
Healthy San Francisco
Payer ID
HSF01
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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Healthy San Francisco HSF01 837P
Healthy San Francisco
Payer ID
HSF01
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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Healthy San Francisco HSF01 837I
Healthy Valley Provider Network
Payer ID
HVPNI
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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Healthy Valley Provider Network HVPNI 837P
Healthy Valley Provider Network
Payer ID
HVPNI
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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Healthy Valley Provider Network HVPNI 837I
Heartland Express - CORVEL
Payer ID
J1677
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.
Heartland Express - CORVEL J1677 837P
Helmsman Management Services
Payer ID
33600
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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Helmsman Management Services 33600 837P
Helmsman Management Services
Payer ID
33600
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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Helmsman Management Services 33600 837I
Hemet Community Medical Group (HCMG)
Payer ID
HCMG1
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 contact the payer (951-791-1111) prior to submitting claims electronically.
Hemet Community Medical Group (HCMG) HCMG1 837I
Hemet Community Medical Group (HCMG)
Payer ID
HCMG1
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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View note
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Please contact the payer (951-791-1111) prior to submitting claims electronically.
Hemet Community Medical Group (HCMG) HCMG1 837P
Hennepin Health (Formerly Metropolitan Health Plan)
Payer ID
10465
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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Hennepin Health (Formerly Metropolitan Health Plan) 10465 270 / 271
Hennepin Health (formerly Metropolitan Health Plan)
Payer ID
MHP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hennepin Health (formerly Metropolitan Health Plan) MHP01 835
Hennepin Health (formerly Metropolitan Health Plan)
Payer ID
MHP01
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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Hennepin Health (formerly Metropolitan Health Plan) MHP01 837I
Hennepin Health (formerly Metropolitan Health Plan)
Payer ID
MHP01
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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Hennepin Health (formerly Metropolitan Health Plan) MHP01 837P
Heraya Health
Payer ID
HRYA1
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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Heraya Health HRYA1 835
Heraya Health
Payer ID
HRYA1
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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Heraya Health HRYA1 837P
Heraya Health
Payer ID
HRYA1
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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Heraya Health HRYA1 270 / 271
Heraya Health
Payer ID
HRYA1
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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Heraya Health HRYA1 276 / 277
Hereford Insurance
Payer ID
J4181
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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Hereford Insurance J4181 837P
Hereford Insurance
Payer ID
J4181
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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Hereford Insurance J4181 837I
H.E.R.E Health Trust
Payer ID
91131
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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H.E.R.E Health Trust 91131 837P
H.E.R.E Health Trust
Payer ID
91131
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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H.E.R.E Health Trust 91131 837I
Heritage - Bureau of Prisons (BOP)
Payer ID
IHS43
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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Heritage - Bureau of Prisons (BOP) IHS43 837P
Heritage - Bureau of Prisons (BOP)
Payer ID
IHS43
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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Heritage - Bureau of Prisons (BOP) IHS43 837I
Heritage IPA
Payer ID
HER01
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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Heritage IPA HER01 837P
Heritage IPA
Payer ID
HER01
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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Heritage IPA HER01 837I
Heritage Physicians Network (HPN)
Payer ID
76045
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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claims are to be submitted to Wellcare payer id 14163 and EFT/ERA for Wellcare is available through Payspan under payer ID 14163.
Heritage Physicians Network (HPN) 76045 835
Heritage Provider Network (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
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Heritage Provider Network (Regal) REGAL 837P
Heritage Provider Network (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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Heritage Provider Network (Regal) REGAL 837I
Heritage Victor Valley Medical Group (Regal)
Payer ID
VVMG1
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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Heritage Victor Valley Medical Group (Regal) VVMG1 837I
Heritage Victor Valley Medical Group (Regal)
Payer ID
VVMG1
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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Heritage Victor Valley Medical Group (Regal) VVMG1 837P
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
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.
High Desert Medical Group (Regal) HDMDG 835
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
High Desert PACE
Payer ID
HDP01
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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High Desert PACE HDP01 837I
High Desert PACE
Payer ID
HDP01
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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High Desert PACE HDP01 837P
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.
