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
Fallon Health (Transplant Claims ONLY)
Payer ID
FT254
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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Fallon Health (Transplant Claims ONLY) FT254 837I
Fallon Health (Transplant Claims ONLY)
Payer ID
FT254
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
Hide note
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Fallon Health (Transplant Claims ONLY) FT254 837P
Fallon Transplant
Payer ID
FT254
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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Fallon Transplant FT254 837P
Fallon Transplant
Payer ID
FT254
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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Fallon Transplant FT254 837I
Family Care Medicaid
Payer ID
FCD01
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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Family Care Medicaid FCD01 837P
Family Care Specialists
Payer ID
FCS01
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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Family Care Specialists FCS01 837P
Family Care Specialists
Payer ID
FCS01
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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Family Care Specialists FCS01 837I
Family Choice Medical Services
Payer ID
FCMS2
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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Family Choice Medical Services FCMS2 835
Family Choice Medical Services
Payer ID
FCMS2
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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Family Choice Medical Services FCMS2 837D
Family Choice Medical Services
Payer ID
FCMS2
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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Family Choice Medical Services FCMS2 837P
Family Choice Medical Services
Payer ID
FCMS2
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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Family Choice Medical Services FCMS2 837I
Family Dental Care, Inc.
Payer ID
FDCI1
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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Family Dental Care, Inc. FDCI1 837P
Family Dental Care, Inc.
Payer ID
FDCI1
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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Family Dental Care, Inc. FDCI1 837I
Family Health Alliance
Payer ID
CAPMN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Family Health Alliance CAPMN 837I
Family Health Alliance
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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ERA enrollment under Conifer Health Solutions.
Family Health Alliance CAPMN 835
Family Health Alliance
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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Family Health Alliance CAPMN 837P
Family Healthcare PACE
Payer ID
R3468
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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Family Healthcare PACE R3468 837I
Family Healthcare PACE
Payer ID
R3468
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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Family Healthcare PACE R3468 837P
Family Health Network
Payer ID
85468
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS prior to 1/1/2020.
Family Health Network 85468 837P
Family Health Network
Payer ID
85468
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 DOS prior to 1/1/2020.
Family Health Network 85468 837I
Family Health Network
Payer ID
FAMHLTH
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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Family Health Network FAMHLTH 270 / 271
Family Medical Network
Payer ID
36396
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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Family Medical Network 36396 837I
Family Medical Network
Payer ID
36396
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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Family Medical Network 36396 837P
Family Practice Medical Group
Payer ID
10145
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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Family Practice Medical Group 10145 837P
Family Practice Medical Group
Payer ID
10145
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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Family Practice Medical Group 10145 837I
Family Practice Medical Group
Payer ID
10145
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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Family Practice Medical Group 10145 835
Family Seniors Medical Group
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
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Please contact the payer (951-791-1111) prior to submitting claims electronically.
Family Seniors Medical Group HCMG1 837P
Family Seniors Medical Group
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
View note
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Please contact the payer (951-791-1111) prior to submitting claims electronically.
Family Seniors Medical Group HCMG1 837I
FAMSA, Inc.
Payer ID
J1807
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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FAMSA, Inc. J1807 837P
FAMSA, Inc.
Payer ID
J1807
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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FAMSA, Inc. J1807 837I
Fannie Mae
Payer ID
J2687
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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Fannie Mae J2687 837P
Fannie Mae
Payer ID
J2687
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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Fannie Mae J2687 837I
Fannie Mae
Payer ID
J2687
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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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.
Fannie Mae J2687 835
Farm Bureau Health Plans
Payer ID
FARM-BUREAU
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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Farm Bureau Health Plans FARM-BUREAU 276 / 277
Farm Bureau Health Plans
Payer ID
RP061
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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Farm Bureau Health Plans RP061 837P
Farm Bureau Health Plans
Payer ID
FARM-BUREAU
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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Farm Bureau Health Plans FARM-BUREAU 270 / 271
Farm Bureau Health Plans
Payer ID
RP061
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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Farm Bureau Health Plans RP061 837I
Farm Bureau Health Plans MAPD
Payer ID
FARM-MAPD
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Farm Bureau Health Plans MAPD FARM-MAPD 270 / 271
Farm Bureau Health Plans MAPD
Payer ID
FARM-MAPD
Payer ID
Transaction
All
Claim Status
276 / 277
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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Farm Bureau Health Plans MAPD FARM-MAPD 276 / 277
Farm Bureau Mutual Insurance Company
Payer ID
J1853
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.
Farm Bureau Mutual Insurance Company J1853 835
Farm Bureau Mutual Insurance Company
Payer ID
J1853
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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Farm Bureau Mutual Insurance Company J1853 837I
Farm Bureau Mutual Insurance Company
Payer ID
J1853
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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Farm Bureau Mutual Insurance Company J1853 837P
Farm Bureau of Michigan
Payer ID
J4167
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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Farm Bureau of Michigan J4167 837P
Farm Bureau of Michigan
Payer ID
J4167
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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Farm Bureau of Michigan J4167 837I
Farmer Brothers Company
Payer ID
J2688
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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Farmer Brothers Company J2688 837P
Farmer Brothers Company
Payer ID
J2688
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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Farmer Brothers Company J2688 837I
Farmer Brothers Company
Payer ID
J2688
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.
Farmer Brothers Company J2688 835
Farmers \ Civic Property and Casualty Company
Payer ID
J1687
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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Farmers \ Civic Property and Casualty Company J1687 837I
Farmers \ Civic Property and Casualty Company
Payer ID
J1687
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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Farmers \ Civic Property and Casualty Company J1687 837P
Farmers \ Exact Property and Casualty Company
Payer ID
J1703
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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Farmers \ Exact Property and Casualty Company J1703 837P
Farmers \ Exact Property and Casualty Company
Payer ID
J1703
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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Farmers \ Exact Property and Casualty Company J1703 837I
Farmers \ Fire Insurance Exchange
Payer ID
J1706
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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Farmers \ Fire Insurance Exchange J1706 837I
Farmers \ Fire Insurance Exchange
Payer ID
J1706
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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Farmers \ Fire Insurance Exchange J1706 837P
Farmers Group Incorporated
Payer ID
J2689
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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Farmers Group Incorporated J2689 837P
Farmers Group Incorporated
Payer ID
J2689
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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Farmers Group Incorporated J2689 837I
Farmers Group Incorporated
Payer ID
J2689
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.
Farmers Group Incorporated J2689 835
Farmers Insurance
Payer ID
C1025
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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Farmers Insurance C1025 837I
Farmers Insurance
Payer ID
C1025
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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.
Farmers Insurance C1025 835
Farmers Insurance
Payer ID
C1025
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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Farmers Insurance C1025 837P
Farmer's Insurance (Commercial)
Payer ID
C1034
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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.
Farmer's Insurance (Commercial) C1034 835
Farmer's Insurance (Commercial)
Payer ID
C1034
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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Farmer's Insurance (Commercial) C1034 837I
Farmer's Insurance (Commercial)
Payer ID
C1034
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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Farmer's Insurance (Commercial) C1034 837P
Farmers Insurance Exchange
Payer ID
J1563
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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Farmers Insurance Exchange J1563 837I
Farmers Insurance Exchange
Payer ID
J1563
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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Farmers Insurance Exchange J1563 837P
Farmers \ Mid-Century Insurance Company
Payer ID
J1710
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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Farmers \ Mid-Century Insurance Company J1710 837I
Farmers \ Mid-Century Insurance Company
Payer ID
J1710
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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Farmers \ Mid-Century Insurance Company J1710 837P
Farmers \ Neighborhood Spirit Property and Casualty Company
Payer ID
J1701
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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Farmers \ Neighborhood Spirit Property and Casualty Company J1701 837P
Farmers \ Neighborhood Spirit Property and Casualty Company
Payer ID
J1701
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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Farmers \ Neighborhood Spirit Property and Casualty Company J1701 837I
Farmers \ Truck Insurance Exchange
Payer ID
J1713
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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Farmers \ Truck Insurance Exchange J1713 837I
Farmers \ Truck Insurance Exchange
Payer ID
J1713
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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Farmers \ Truck Insurance Exchange J1713 837P
Farmland Mutual Insurance Co
Payer ID
J1551
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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Farmland Mutual Insurance Co J1551 837I
Farmland Mutual Insurance Co
Payer ID
J1551
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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Farmland Mutual Insurance Co J1551 837P
FASIS
Payer ID
J2112
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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FASIS J2112 837P
FASIS
Payer ID
J2112
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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FASIS J2112 837I
FASIS
Payer ID
J2112
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.
FASIS J2112 835
FCA US LLC
Payer ID
J2690
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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FCA US LLC J2690 837P
FCA US LLC
Payer ID
J2690
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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FCA US LLC J2690 837I
FCA US LLC
Payer ID
J2690
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.
FCA US LLC J2690 835
FCCI
Payer ID
J1830
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.
FCCI J1830 835
FCCI
Payer ID
J1830
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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FCCI J1830 837I
FCCI
Payer ID
J1830
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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FCCI J1830 837P
FCE Benefit Administrators
Payer ID
33033
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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FCE Benefit Administrators 33033 837P
FCE Benefit Administrators
Payer ID
33033
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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FCE Benefit Administrators 33033 837I
FCE Benefit Administrators
Payer ID
33033
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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FCE Benefit Administrators 33033 835
FCS Administrators
Payer ID
J3933
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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FCS Administrators J3933 837P
FCS Administrators
Payer ID
J3933
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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FCS Administrators J3933 837I
FDM Preferred Insurance - CORVEL
Payer ID
J4126
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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FDM Preferred Insurance - CORVEL J4126 837P
FDM Preferred Insurance - CORVEL
Payer ID
J4126
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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FDM Preferred Insurance - CORVEL J4126 837I
FDM Preferred Insurance - CORVEL
Payer ID
J4126
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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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.
FDM Preferred Insurance - CORVEL J4126 835
Federal Employee Plan of South Carolina
Payer ID
00402
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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Federal Employee Plan of South Carolina 00402 835
Federal Employee Plan of South Carolina
Payer ID
00402
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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Federal Employee Plan of South Carolina 00402 837I
Federal Employee Plan of South Carolina
Payer ID
00402
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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Federal Employee Plan of South Carolina 00402 837P
Federal Employees Plan WA (Regence Blue Shield)
Payer ID
00932
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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Federal Employees Plan WA (Regence Blue Shield) 00932 837P
Federal Employees Plan WA (Regence Blue Shield)
Payer ID
00932
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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Federal Employees Plan WA (Regence Blue Shield) 00932 835
Federal Employees Plan WA (Regence Blue Shield)
Payer ID
00932
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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Federal Employees Plan WA (Regence Blue Shield) 00932 837I
Federal Employees Plan WA (Regence Blue Shield)
Payer ID
00932
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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Federal Employees Plan WA (Regence Blue Shield) 00932 837D
Federal Mogul - CORVEL
Payer ID
J2361
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, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Federal Mogul - CORVEL J2361 835
Federal Mogul - CORVEL
Payer ID
J2361
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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Federal Mogul - CORVEL J2361 837P
Federal Mogul - CORVEL
Payer ID
J2361
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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Federal Mogul - CORVEL J2361 837I
Federated Mutual Insurance Company (WC only)
Payer ID
13935
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, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Federated Mutual Insurance Company (WC only) 13935 835
