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
In Physicians Associates
Payer ID
INP12
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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In Physicians Associates INP12 835
Inservco
Payer ID
J3948
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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Inservco J3948 837P
Inservco
Payer ID
J3948
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.
Inservco J3948 835
Inservco
Payer ID
J3948
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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Inservco J3948 837I
INS Health Services (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.
INS Health Services (AKA ICE Health) VAICE 837P
INS Health Services (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.
INS Health Services (AKA ICE Health) VAICE 837I
Inspira Health Network LIFE Inc
Payer ID
R3482
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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Inspira Health Network LIFE Inc R3482 837I
Inspira Health Network LIFE Inc
Payer ID
R3482
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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Inspira Health Network LIFE Inc R3482 837P
Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
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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Insurance Administrator of America, Inc. (IAA) 37279 837P
Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
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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Insurance Administrator of America, Inc. (IAA) 37279 837I
Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
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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Insurance Administrator of America, Inc. (IAA) 37279 835
Insurance Benefit System Administrators
Payer ID
07689
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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Insurance Benefit System Administrators 07689 835
Insurance Benefit System Administrators
Payer ID
07689
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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Insurance Benefit System Administrators 07689 837P
Insurance Benefit System Administrators
Payer ID
07689
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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Insurance Benefit System Administrators 07689 837I
Insurance Program Managers Group (IPMG) 36342 837P
Insurance Program Managers Group (IPMG)
Payer ID
36342
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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Insurance Program Managers Group (IPMG) 36342 837I
Insurance Systems
Payer ID
11889
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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Insurance Systems 11889 837P
Insurance Systems
Payer ID
11889
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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Insurance Systems 11889 837I
Insurance Systems
Payer ID
11889
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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Insurance Systems 11889 835
Insurance TPA
Payer ID
39182
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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Insurance TPA 39182 837P
Insurance TPA
Payer ID
39182
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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Insurance TPA 39182 837I
Insurers Administrative Corp.
Payer ID
86304
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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Insurers Administrative Corp. 86304 837I
Insurers Administrative Corp.
Payer ID
86304
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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Insurers Administrative Corp. 86304 837P
Intact Insurance (Formerly One Beacon) (Auto)
Payer ID
C1026
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
View note
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Intact Insurance (Formerly One Beacon) (Auto) C1026 837I
Intact Insurance (Formerly One Beacon) (Auto)
Payer ID
C1026
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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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Intact Insurance (Formerly One Beacon) (Auto) C1026 835
Intact Insurance (Formerly One Beacon) (Auto)
Payer ID
C1026
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
View note
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Intact Insurance (Formerly One Beacon) (Auto) C1026 837P
Integra Administrative Group
Payer ID
51020
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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Seaford, Deleware.
Integra Administrative Group 51020 835
Integra Administrative Group
Payer ID
51020
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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Seaford, Deleware.
Integra Administrative Group 51020 837I
Integra Administrative Group
Payer ID
INTEGRA
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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Integra Administrative Group INTEGRA 276 / 277
Integra Administrative Group
Payer ID
51020
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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Seaford, Deleware.
Integra Administrative Group 51020 837P
Integra Administrative Group
Payer ID
INTEGRA
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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Integra Administrative Group INTEGRA 270 / 271
Integra BMS
Payer ID
56139
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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Integra BMS 56139 835
Integra BMS
Payer ID
56139
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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Integra BMS 56139 837I
Integra BMS
Payer ID
56139
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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Integra BMS 56139 837P
Integra Group
Payer ID
31127
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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Integra Group 31127 837I
Integra Group
Payer ID
31127
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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Integra Group 31127 837P
IntegraNet
Payer ID
INET1
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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IntegraNet INET1 837P
IntegraNet
Payer ID
INET1
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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IntegraNet INET1 835
IntegraNet
Payer ID
INET1
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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IntegraNet INET1 837I
IntegraNet SCAN
Payer ID
ISCN1
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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IntegraNet SCAN ISCN1 837P
IntegraNet SCAN
Payer ID
ISCN1
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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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.
IntegraNet SCAN ISCN1 835
IntegraNet SCAN
Payer ID
ISCN1
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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IntegraNet SCAN ISCN1 837I
Integrated Eye Care Network
Payer ID
85016
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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Integrated Eye Care Network 85016 837P
Integrated Health Partners (IHP)
Payer ID
MPM26
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 5/1/16.
Integrated Health Partners (IHP) MPM26 837I
Integrated Health Partners (IHP)
Payer ID
MPM26
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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For claims with DOS on or after 5/1/16.
Integrated Health Partners (IHP) MPM26 837P
Integrated Home Care Services, Inc.
Payer ID
IHCS1
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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Integrated Home Care Services, Inc. IHCS1 837P
Integrated Home Care Services, Inc.
Payer ID
IHCS1
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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Integrated Home Care Services, Inc. IHCS1 837I
Integrated Medical Solutions
Payer ID
20050
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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Integrated Medical Solutions 20050 837I
Integrated Medical Solutions
Payer ID
20050
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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Integrated Medical Solutions 20050 837P
Interactive Medical Systems
Payer ID
56132
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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Interactive Medical Systems 56132 837P
Interactive Medical Systems
Payer ID
56132
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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Interactive Medical Systems 56132 835
Interactive Medical Systems
Payer ID
56132
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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Interactive Medical Systems 56132 837I
Intercare
Payer ID
J1542
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
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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.
Intercare J1542 835
Intercare
Payer ID
J1542
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
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Intercare J1542 837I
Intercare
Payer ID
J1542
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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Intercare J1542 837P
Intercare Holdings for City and County of San Francisco
Payer ID
J4252
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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Intercare Holdings for City and County of San Francisco J4252 837I
Intercare Holdings for City and County of San Francisco
Payer ID
J4252
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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Intercare Holdings for City and County of San Francisco J4252 837P
Intercare Holdings for City and County of San Francisco
Payer ID
J4252
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Intercare Holdings for City and County of San Francisco J4252 835
Intercare - Sussex
Payer ID
J1957
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Intercare - Sussex J1957 835
Intercare - Sussex
Payer ID
J1957
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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Intercare - Sussex J1957 837I
Intercare - Sussex
Payer ID
J1957
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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Intercare - Sussex J1957 837P
InterCommunity Health CCO (IHN)
Payer ID
SAMHP
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Previously Payer ID CP001.
InterCommunity Health CCO (IHN) SAMHP 837P
InterCommunity Health CCO (IHN)
Payer ID
SAMHP
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Previously Payer ID CP001.
InterCommunity Health CCO (IHN) SAMHP 837I
InterCommunity Health CCO (IHN)
Payer ID
SAMHP
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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Remittance Advice. Previously Payer ID CP001.
InterCommunity Health CCO (IHN) SAMHP 835
InterCommunity Health CCO (IHN)
Payer ID
SAMHP-IHN
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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InterCommunity Health CCO (IHN) SAMHP-IHN 270 / 271
Intercommunity Health Net
Payer ID
SAMHP-IHP
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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Intercommunity Health Net SAMHP-IHP 270 / 271
Intercommunity Health Net
Payer ID
SAMHP
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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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.
Intercommunity Health Net SAMHP 837P
Intercommunity Health Net
Payer ID
SAMHP
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.
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.
Interinsurance Exchange of the Automobile Club - CORVEL
Payer ID
J1810
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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Interinsurance Exchange of the Automobile Club - CORVEL J1810 837I
Interinsurance Exchange of the Automobile Club - CORVEL
Payer ID
J1810
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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Interinsurance Exchange of the Automobile Club - CORVEL J1810 837P
Intermountain Health
Payer ID
20501
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Previously HealthCare Partners of Nevada
Intermountain Health 20501 837I
Intermountain Health
Payer ID
20501
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 found under "HealthCare Partners of Nevada"
Intermountain Health 20501 835
Intermountain Health
Payer ID
20501
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Previously HealthCare Partners of Nevada
Intermountain Health 20501 837P
Intermountain Healthcare
Payer ID
J2243
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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Intermountain Healthcare J2243 837P
Intermountain Healthcare
Payer ID
J2243
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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Intermountain Healthcare J2243 837I
Intermountain Healthcare
Payer ID
J2243
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
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files
Intermountain Healthcare J2243 835
Intermountain Ironworkers Trust Fund
Payer ID
74234
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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Intermountain Ironworkers Trust Fund 74234 837I
Intermountain Ironworkers Trust Fund
Payer ID
74234
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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Intermountain Ironworkers Trust Fund 74234 837P
International Benefit Administrator
Payer ID
11329
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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International Benefit Administrator 11329 837I
International Benefit Administrator
Payer ID
11329
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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International Benefit Administrator 11329 837P
International Benefit Administrator
Payer ID
11329
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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International Benefit Administrator 11329 835
International Benefits Administrators
Payer ID
INT-BENE-ADMIN
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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International Benefits Administrators INT-BENE-ADMIN 270 / 271