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
Gonzaba Medical Group
Payer ID
GMGSA
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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Gonzaba Medical Group GMGSA 837P
Good2go Insurance (aka Personal Service Insurance)
Payer ID
C1094
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Good2go Insurance (aka Personal Service Insurance) C1094 837I
Good2go Insurance (aka Personal Service Insurance)
Payer ID
C1094
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Good2go Insurance (aka Personal Service Insurance) C1094 837P
Goodfellow Top Grade Construction LLC
Payer ID
J3906
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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Goodfellow Top Grade Construction LLC J3906 837P
Goodfellow Top Grade Construction LLC
Payer ID
J3906
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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Goodfellow Top Grade Construction LLC J3906 837I
Goodwill Industries of San Diego
Payer ID
J1621
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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Goodwill Industries of San Diego J1621 837P
Goodwill Industries of San Diego
Payer ID
J1621
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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Goodwill Industries of San Diego J1621 837I
Goodwill Industries of San Diego
Payer ID
J1621
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; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Goodwill Industries of San Diego J1621 835
Goodwill Industries (San Francisco, San Mateo, Marin Counties)
Payer ID
J2114
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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Goodwill Industries (San Francisco, San Mateo, Marin Counties) J2114 837P
Goodwill Industries (San Francisco, San Mateo, Marin Counties)
Payer ID
J2114
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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Goodwill Industries (San Francisco, San Mateo, Marin Counties) J2114 837I
Goodwill Industries (San Francisco, San Mateo, Marin Counties)
Payer ID
J2114
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.
Goodwill Industries (San Francisco, San Mateo, Marin Counties) J2114 835
Gordon Food Service, Inc
Payer ID
J4558
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
Hide note
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Gordon Food Service, Inc J4558 837P
Gordon Food Service, Inc
Payer ID
J4558
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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Gordon Food Service, Inc J4558 837I
Gordon Food Service, Inc
Payer ID
J4558
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.
Gordon Food Service, Inc J4558 835
Government Employees Hospital Association (GEHA)
Payer ID
44054
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 UMR (Wausau/ UHIS) - Payer ID 39026
Government Employees Hospital Association (GEHA) 44054 835
Government Employees Hospital Association (GEHA)
Payer ID
44054
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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Government Employees Hospital Association (GEHA) 44054 837D
Government Employees Hospital Association (GEHA)
Payer ID
44054
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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Government Employees Hospital Association (GEHA) 44054 837P
Government Employees Hospital Association (GEHA)
Payer ID
44054
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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Government Employees Hospital Association (GEHA) 44054 837I
Graceworks Lutheran Services
Payer ID
J2737
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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Graceworks Lutheran Services J2737 837I
Graceworks Lutheran Services
Payer ID
J2737
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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Graceworks Lutheran Services J2737 837P
Graceworks Lutheran Services
Payer ID
J2737
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.
Graceworks Lutheran Services J2737 835
Grady Healthcare - Georgia Medicaid
Payer ID
CX014
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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Grady Healthcare - Georgia Medicaid CX014 837D
Graham Packaging Company Inc
Payer ID
J2738
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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Graham Packaging Company Inc J2738 837I
Graham Packaging Company Inc
Payer ID
J2738
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.
Graham Packaging Company Inc J2738 835
Graham Packaging Company Inc
Payer ID
J2738
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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Graham Packaging Company Inc J2738 837P
Grand River Insurance (Auto only)
Payer ID
C1038
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
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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.
Grand River Insurance (Auto only) C1038 835
Grand River Insurance (Auto only)
Payer ID
C1038
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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Grand River Insurance (Auto only) C1038 837P
Grand River Insurance (Auto only)
Payer ID
C1038
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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Grand River Insurance (Auto only) C1038 837I
Grand River Insurance (WC only)
Payer ID
J1566
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.
Grand River Insurance (WC only) J1566 835
Grand River Insurance (WC only)
Payer ID
J1566
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
Hide note
View note
Hide note
Grand River Insurance (WC only) J1566 837P
Grand River Insurance (WC only)
Payer ID
J1566
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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Grand River Insurance (WC only) J1566 837I
Grange Mutual Casualty Company
Payer ID
10322
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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Grange Mutual Casualty Company 10322 837I
Grange Mutual Casualty Company
Payer ID
10322
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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Grange Mutual Casualty Company 10322 837P
Grange WC
Payer ID
14060
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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Grange WC 14060 837I
Grange WC
Payer ID
14060
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.
Grange WC 14060 835
Grange WC
Payer ID
14060
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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Grange WC 14060 837P
Granite State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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ERA enrollment forms will be listed under Centene Corporation.
Granite State (Centene) 68069 835
Granite State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Granite State (Centene) 68069 837I
Granite State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Granite State (Centene) 68069 837P
Granite State (Centene)
Payer ID
GRANITE
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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Granite State (Centene) GRANITE 276 / 277
Granite State (Centene)
Payer ID
GRANITE
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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Granite State (Centene) GRANITE 270 / 271
GRAVIE
Payer ID
GRAVI
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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GRAVIE GRAVI 837I
GRAVIE
Payer ID
GRAVI
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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GRAVIE GRAVI 837P
Gravie Inc
Payer ID
GRV01
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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Gravie Inc GRV01 835
Gravie Inc
Payer ID
GRAVIE-INC
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
Hide note
View note
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Gravie Inc GRAVIE-INC 270 / 271
Gravie Inc
Payer ID
GRV01
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
View note
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Gravie Inc GRV01 837P
Gravie Inc
Payer ID
GRV01
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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Gravie Inc GRV01 837I
Great American Alliance Ins Co.
Payer ID
26832
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.
Great American Alliance Ins Co. 26832 835
Great American Alliance Ins Co.
Payer ID
26832
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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Great American Alliance Ins Co. 26832 837I
Great American Alliance Ins Co.
Payer ID
26832
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
Hide note
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Great American Alliance Ins Co. 26832 837P
Great American Assurance Co.
Payer ID
26344
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
Hide note
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Great American Assurance Co. 26344 837P
Great American Assurance Co.
Payer ID
26344
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.
Great American Assurance Co. 26344 835
Great American Assurance Co.
Payer ID
26344
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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Great American Assurance Co. 26344 837I
Great American Ins. Alternative Markets
Payer ID
J2740
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
Hide note
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Great American Ins. Alternative Markets J2740 837P
Great American Ins. Alternative Markets
Payer ID
J2740
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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Great American Ins. Alternative Markets J2740 837I
Great American Ins. Alternative Markets
Payer ID
J2740
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.
Great American Ins. Alternative Markets J2740 835
Great American Ins. Co.
Payer ID
16691
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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Great American Ins. Co. 16691 837I
Great American Ins. Co.
Payer ID
16691
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
Hide note
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Great American Ins. Co. 16691 837P
Great American Ins. Co.
Payer ID
16691
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.
Great American Ins. Co. 16691 835
Great American Ins. Co. of NY
Payer ID
22136
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
Hide note
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Great American Ins. Co. of NY 22136 837P
Great American Ins. Co. of NY
Payer ID
22136
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.
Great American Ins. Co. of NY 22136 835
Great American Ins. Co. of NY
Payer ID
22136
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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Great American Ins. Co. of NY 22136 837I
Great American Spirit Insurance Company
Payer ID
J4074
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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Great American Spirit Insurance Company J4074 837P
Great American Spirit Insurance Company
Payer ID
J4074
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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Great American Spirit Insurance Company J4074 837I
Great American Spirit Insurance Company
Payer ID
J4074
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.
Great American Spirit Insurance Company J4074 835
Great Divide Insurance
Payer ID
25224
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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Great Divide Insurance 25224 837P
Great Divide Insurance
Payer ID
25224
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, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Great Divide Insurance 25224 835
Great Divide Insurance
Payer ID
25224
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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Great Divide Insurance 25224 837I
Greater Covina Medical Group (GCMG) (Regal)
Payer ID
GCMG1
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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Greater Covina Medical Group (GCMG) (Regal) GCMG1 837P
Greater L.A. Healthcare
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.
Greater L.A. Healthcare CAPMN 835
Greater L.A. Healthcare
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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Greater L.A. Healthcare CAPMN 837P
Greater L.A. Healthcare
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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Greater L.A. Healthcare CAPMN 837I
Greater Orange Medical Group
Payer ID
NMM01
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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Greater Orange Medical Group NMM01 835
Greater Orange Medical Group
Payer ID
NMM01
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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Greater Orange Medical Group NMM01 837I
Greater Orange Medical Group
Payer ID
NMM01
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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Greater Orange Medical Group NMM01 837P
Greater Oregon Behavioral Health Inc
Payer ID
GOBHI
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 direct claims for DOS after 1/1/2020 to Payer ID 13350. All other claims will be dropped to paper or must be submitted on the payers portal. www.gobhi.org/billing
Greater Oregon Behavioral Health Inc GOBHI 837I
Greater Oregon Behavioral Health Inc
Payer ID
GOBHI
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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Please direct claims for DOS after 1/1/2020 to Payer ID 13350. All other claims will be dropped to paper or must be submitted on the payers portal. www.gobhi.org/billing
Greater Oregon Behavioral Health Inc GOBHI 837P
Greater Oregon Behavioral Health Inc
Payer ID
GOBHI
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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Please direct claims for DOS after 1/1/2020 to Payer ID 13350. All other claims will be dropped to paper or must be submitted on the payers portal. www.gobhi.org/billing
Greater Oregon Behavioral Health Inc GOBHI 835
Greater San Gabriel Medical Group
Payer ID
NMM01
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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Greater San Gabriel Medical Group NMM01 837P
Greater San Gabriel Medical Group
Payer ID
NMM01
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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Greater San Gabriel Medical Group NMM01 835
Greater San Gabriel Medical Group
Payer ID
NMM01
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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Greater San Gabriel Medical Group NMM01 837I
Greater San Gabriel Valley Physicians
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.
Greater San Gabriel Valley Physicians CAPMN 835
Greater San Gabriel Valley Physicians
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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Greater San Gabriel Valley Physicians CAPMN 837I
Greater San Gabriel Valley Physicians
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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Greater San Gabriel Valley Physicians CAPMN 837P
Greater Tri-Cities IPA
Payer ID
PDT01
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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Form can be found under "Physicians Data Trust".
Greater Tri-Cities IPA PDT01 835
Greater Tri-Cities IPA
Payer ID
PDT01
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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Form can be found under "Physicians Data Trust".
Greater Tri-Cities IPA PDT01 837I
Greater Tri-Cities IPA
Payer ID
PDT01
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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Form can be found under "Physicians Data Trust".
Greater Tri-Cities IPA PDT01 837P
Great Plains Medicare Advantage
Payer ID
RP035
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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Great Plains Medicare Advantage RP035 837I
Great Plains Medicare Advantage
Payer ID
RP035
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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Great Plains Medicare Advantage RP035 837P
Great Southern Life Insurance Co Medicare Supplement
Payer ID
96477
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 only payer - IAS Admin Payer.
Great Southern Life Insurance Co Medicare Supplement 96477 835
Great States Health IICT
Payer ID
GSHTX
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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Great States Health IICT GSHTX 837I
Great States Health IICT
Payer ID
GSHTX
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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Great States Health IICT GSHTX 837P
GreatWest
Payer ID
J4174
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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GreatWest J4174 837P
Great West Casualty Company
Payer ID
J1820
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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Great West Casualty Company J1820 837I
Great West Casualty Company
Payer ID
J1820
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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Great West Casualty Company J1820 837P
Great West Casualty Company
Payer ID
J1820
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.
Great West Casualty Company J1820 835
Great West Health Care
Payer ID
62308
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 instructions listed under Cigna Healthcare.
