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
Evernorth Network Services
Payer ID
62350
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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Evernorth Network Services 62350 837P
Evernorth Network Services
Payer ID
62350
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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Evernorth Network Services 62350 276 / 277
Evernorth Network Services
Payer ID
62350
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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Evernorth Network Services 62350 835
Everpointe
Payer ID
32052
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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Everpointe 32052 837I
Everpointe
Payer ID
32052
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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Everpointe 32052 837P
EverTrue PACE (aka New Horizons)
Payer ID
R3481
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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EverTrue PACE (aka New Horizons) R3481 837P
EverTrue PACE (aka New Horizons)
Payer ID
R3481
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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EverTrue PACE (aka New Horizons) R3481 837I
Evolutions Healthcare Systems
Payer ID
59313
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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New Port Richey, Florida.
Evolutions Healthcare Systems 59313 837I
Evolutions Healthcare Systems
Payer ID
59313
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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New Port Richey, Florida.
Evolutions Healthcare Systems 59313 837P
Evolutions Healthcare Systems
Payer ID
59313
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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New Port Richey, Florida.
Evolutions Healthcare Systems 59313 835
Evraz
Payer ID
J2682
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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Evraz J2682 837P
Evraz
Payer ID
J2682
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Evraz J2682 837I
Evraz
Payer ID
J2682
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
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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.
Evraz J2682 835
Evry Health
Payer ID
EVRY-HEALTH
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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Evry Health EVRY-HEALTH 270 / 271
Evry Health
Payer ID
EH001
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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Evry Health EH001 837P
Evry Health
Payer ID
EH001
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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Evry Health EH001 837I
Exceedent LLC
Payer ID
22344
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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Exceedent LLC 22344 837P
Exceedent LLC
Payer ID
22344
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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Exceedent LLC 22344 837I
Excel MSO
Payer ID
EXC01
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 is completed under Optum Care Network.
Excel MSO EXC01 835
Excel MSO
Payer ID
EXC01
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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Excel MSO EXC01 837P
Excel MSO
Payer ID
EXC01
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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Excel MSO EXC01 837I
Excel MSO UHC PPO
Payer ID
EXC02
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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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.
Excel MSO UHC PPO EXC02 837P
Excel MSO UHC PPO
Payer ID
EXC02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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.
Excel MSO UHC PPO EXC02 835
Excel MSO UHC PPO
Payer ID
EXC02
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
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.
Excel MSO UHC PPO EXC02 837I
Exceptional Care Medical Group (ECMG)
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
View note
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Exceptional Care Medical Group (ECMG) CAPMN 837I
Exceptional Care Medical Group (ECMG)
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment under Conifer Health Solutions.
Exceptional Care Medical Group (ECMG) CAPMN 835
Exceptional Care Medical Group (ECMG)
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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Exceptional Care Medical Group (ECMG) CAPMN 837P
Exclusicare
Payer ID
71412
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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Exclusicare 71412 837I
Exclusicare
Payer ID
71412
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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Exclusicare 71412 837D
Exclusicare
Payer ID
71412
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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Exclusicare 71412 837P
Exclusicare
Payer ID
71412
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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Exclusicare 71412 835
Exemplar Health
Payer ID
83383
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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Exemplar Health 83383 837P
Exemplar Health
Payer ID
83383
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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Exemplar Health 83383 837I
Exemplar Health Insurance Company
Payer ID
54096
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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Medicare plans only.
Exemplar Health Insurance Company 54096 837P
Exemplar Health Insurance Company
Payer ID
54096
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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Medicare plans only.
Exemplar Health Insurance Company 54096 837I
Express, LLC - CORVEL
Payer ID
J3739
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Express, LLC - CORVEL J3739 837I
Express, LLC - CORVEL
Payer ID
J3739
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Express, LLC - CORVEL J3739 835
Express, LLC - CORVEL
Payer ID
J3739
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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Express, LLC - CORVEL J3739 837P
Express Services, Inc.
Payer ID
J2683
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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Express Services, Inc. J2683 837P
Express Services, Inc.
Payer ID
J2683
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Express Services, Inc. J2683 837I
Express Services, Inc.
Payer ID
J2683
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Express Services, Inc. J2683 835
Extended MLTC
Payer ID
46166
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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Extended MLTC 46166 837P
Extended MLTC
Payer ID
46166
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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Extended MLTC 46166 837I
Extra Space Storage, Inc
Payer ID
J2684
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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Extra Space Storage, Inc J2684 837P
Extra Space Storage, Inc
Payer ID
J2684
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Extra Space Storage, Inc J2684 837I
Extra Space Storage, Inc
Payer ID
J2684
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Extra Space Storage, Inc J2684 835
ExxonMobil Corporation - CORVEL
Payer ID
J1606
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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ExxonMobil Corporation - CORVEL J1606 837P
ExxonMobil Corporation - CORVEL
Payer ID
J1606
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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ExxonMobil Corporation - CORVEL J1606 837I
Eyecare 2020
Payer ID
2020E
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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Eyecare 2020 2020E 837P
Eye Management Inc.
Payer ID
12K89
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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Eye Management Inc. 12K89 837P
Eye Management Inc.
Payer ID
12K89
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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Eye Management Inc. 12K89 837I
EyeMed
Payer ID
31165
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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EyeMed 31165 837I
EyeMed
Payer ID
31165
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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EyeMed 31165 835
EyeMed
Payer ID
31165
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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EyeMed 31165 837P
EyeQuest
Payer ID
63740
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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EyeQuest 63740 837P
Ez-Mix
Payer ID
J3894
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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Ez-Mix J3894 837P
Ez-Mix
Payer ID
J3894
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
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Ez-Mix J3894 837I
Ez-Mix
Payer ID
J3894
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
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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.
Ez-Mix J3894 835
F40 Alaska Carpenters Trust
Payer ID
91136
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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Enrollment form under 'Welfare Pension Administration Services'
F40 Alaska Carpenters Trust 91136 835
F40 Alaska Carpenters Trust
Payer ID
91136
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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F40 Alaska Carpenters Trust 91136 837I
F40 Alaska Carpenters Trust
Payer ID
91136
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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F40 Alaska Carpenters Trust 91136 837P
Fabcon, Inc
Payer ID
J2685
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Fabcon, Inc J2685 835
Fabcon, Inc
Payer ID
J2685
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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Fabcon, Inc J2685 837P
Fabcon, Inc
Payer ID
J2685
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Fabcon, Inc J2685 837I
FABOH (CHP RPU)
Payer ID
39112
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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FABOH (CHP RPU) 39112 837I
FABOH (CHP RPU)
Payer ID
39112
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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FABOH (CHP RPU) 39112 837P
Facey Medical Foundation
Payer ID
STJOE
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.
Facey Medical Foundation STJOE 835
Facey Medical Foundation
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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Facey Medical Foundation STJOE 837P
Facey Medical Foundation
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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Facey Medical Foundation STJOE 837I
FACS Group
Payer ID
37300
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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FACS Group 37300 837P
Factory 2 U
Payer ID
J1019
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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Factory 2 U J1019 837P
Factory 2 U
Payer ID
J1019
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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Factory 2 U J1019 837I
Factory 2 U
Payer ID
J1019
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Factory 2 U J1019 835
Fairbanks Risk Management
Payer ID
J4601
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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Fairbanks Risk Management J4601 837P
Fairbanks Risk Management
Payer ID
J4601
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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Fairbanks Risk Management J4601 837I
Fairbanks Risk Management
Payer ID
J4601
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Fairbanks Risk Management J4601 835
Fairchild Fasteners - CORVEL
Payer ID
J1624
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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Fairchild Fasteners - CORVEL J1624 837P
Fairchild Fasteners - CORVEL
Payer ID
J1624
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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Fairchild Fasteners - CORVEL J1624 837I
Fairfax County Government - CORVEL
Payer ID
J1884
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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Fairfax County Government - CORVEL J1884 837P
Fairfax County Government - CORVEL
Payer ID
J1884
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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Fairfax County Government - CORVEL J1884 837I
Fairmont Hotel (Athens)
Payer ID
J2111
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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Fairmont Hotel (Athens) J2111 837P
Fairmont Hotel (Athens)
Payer ID
J2111
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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Fairmont Hotel (Athens) J2111 837I
Fairmont Hotel (Athens)
Payer ID
J2111
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Fairmont Hotel (Athens) J2111 835
Fairmont Specialty Insurance Company - TX
Payer ID
J1697
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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Fairmont Specialty Insurance Company - TX J1697 837P
Fairmont Specialty Insurance Company - TX
Payer ID
J1697
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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Fairmont Specialty Insurance Company - TX J1697 837I
Fair Price
Payer ID
62956
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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Fair Price 62956 837I
Fair Price
Payer ID
62956
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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Fair Price 62956 837P
Fairview Health Services
Payer ID
J1618
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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Fairview Health Services J1618 837P
Fairview Health Services
Payer ID
J1618
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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Fairview Health Services J1618 837I
Falck USA, Inc
Payer ID
J4755
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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Falck USA, Inc J4755 837P
Falck USA, Inc
Payer ID
J4755
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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Falck USA, Inc J4755 837I
Falck USA, Inc
Payer ID
J4755
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
