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 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.
Healthsmart Casualty Claims Solutions J1481 835
Healthsmart MSO
Payer ID
HSM01
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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Healthsmart MSO HSM01 835
HealthSmart MSO
Payer ID
HSM01
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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HealthSmart MSO HSM01 837P
HealthSmart MSO
Payer ID
HSM01
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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HealthSmart MSO HSM01 837I
HealthSmart Preferred Care
Payer ID
75250
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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HealthSmart Preferred Care 75250 837I
HealthSmart Preferred Care
Payer ID
75250
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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HealthSmart Preferred Care 75250 837P
Health Smart RX
Payer ID
J4324
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.
Claims for DOS After 7/1/2018. Payer returns ERA's automatically once electronic claim submission begins.
HealthTeam Advantage 88250 837P
HealthTeam Advantage
Payer ID
88250
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Claims for DOS After 7/1/2018.
HealthTeam Advantage 88250 835
HealthTeam Advantage
Payer ID
88250
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Claims for DOS After 7/1/2018. Payer returns ERA's automatically once electronic claim submission begins.
HealthTeam Advantage 88250 837I
Health Texas Medical Group
Payer ID
HTHTX
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Health Texas Medical Group HTHTX 837I
Health Texas Medical Group
Payer ID
HTHTX
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Health Texas Medical Group HTHTX 837P
Healthways WholeHealth Network
Payer ID
58213
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthways WholeHealth Network 58213 837P
Healthy Blue Dual Advantage Louisiana
Payer ID
00551
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Dual Advantage Louisiana 00551 837P
Healthy Blue Dual Advantage Louisiana
Payer ID
HEALTHY-BLUE-DA-LA
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Dual Advantage Louisiana HEALTHY-BLUE-DA-LA 276 / 277
Healthy Blue Dual Advantage Louisiana
Payer ID
HEALTHY-BLUE-DA-LA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Dual Advantage Louisiana HEALTHY-BLUE-DA-LA 270 / 271
Healthy Blue Dual Advantage Louisiana
Payer ID
00551
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Dual Advantage Louisiana 00551 837I
Healthy Blue Kansas
Payer ID
00047
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Kansas 00047 835
Healthy Blue Kansas
Payer ID
00047
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Kansas 00047 837P
Healthy Blue Kansas
Payer ID
00047
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Kansas 00047 837I
Healthy Blue LA
Payer ID
HEALTHY-BLUE-LA
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue LA HEALTHY-BLUE-LA 276 / 277
Healthy Blue LA
Payer ID
00661
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Former Payer ID: 16730. Effective 9/1/17, Amerigroup Louisiana is now Healthy Blue.
Healthy Blue LA 00661 835
Healthy Blue LA
Payer ID
00661
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Former Payer ID: 16730. Effective 9/1/17, Amerigroup Louisiana is now Healthy Blue.
Healthy Blue LA 00661 837P
Healthy Blue LA
Payer ID
HEALTHY-BLUE-LA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue LA HEALTHY-BLUE-LA 270 / 271
Healthy Blue LA
Payer ID
00661
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Former Payer ID: 16730. Effective 9/1/17, Amerigroup Louisiana is now Healthy Blue.
Healthy Blue LA 00661 837I
Healthy Blue Missouri
Payer ID
00541
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Missouri 00541 837I
Healthy Blue Missouri
Payer ID
00541
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Missouri 00541 837P
Healthy Blue Missouri
Payer ID
HEALTHY-BLUE-MO
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Missouri HEALTHY-BLUE-MO 270 / 271
Healthy Blue Missouri
Payer ID
00541
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Missouri 00541 835
Healthy Blue Missouri
Payer ID
HEALTHY-BLUE-MO
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Missouri HEALTHY-BLUE-MO 276 / 277
Healthy Blue Nebraska
Payer ID
HEALTHY-BLUE-NE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue Nebraska HEALTHY-BLUE-NE 270 / 271
Healthy Blue North Carolina
Payer ID
HEALTHY-BLUE-NC
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue North Carolina HEALTHY-BLUE-NC 276 / 277
Healthy Blue North Carolina
Payer ID
HEALTHY-BLUE-NC
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue North Carolina HEALTHY-BLUE-NC 270 / 271
Healthy Blue North Carolina
Payer ID
00602
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue North Carolina 00602 837P
Healthy Blue North Carolina
Payer ID
00602
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue North Carolina 00602 835
Healthy Blue North Carolina
Payer ID
00602
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue North Carolina 00602 837I
Healthy Blue South Carolina
Payer ID
00403
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment can be found under BCBS of South Carolina.
Healthy Blue South Carolina 00403 837P
Healthy Blue South Carolina
Payer ID
00403
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment can be found under BCBS of South Carolina.
Healthy Blue South Carolina 00403 835
Healthy Blue South Carolina
Payer ID
HEALTHY-BLUE-SC
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Blue South Carolina HEALTHY-BLUE-SC 270 / 271
Healthy Families Program
Payer ID
CPPCA
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Families Program CPPCA 837D
Healthy Mississippi
Payer ID
99914
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Mississippi 99914 837P
Healthy Mississippi
Payer ID
99914
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Mississippi 99914 837I
Healthy Montana Kids (HMK)
Payer ID
BCSMT
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment form can be found under Blue Cross Blue Shield Montana.
Healthy Montana Kids (HMK) BCSMT 837I
Healthy Montana Kids (HMK)
Payer ID
BCSMT
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment form can be found under Blue Cross Blue Shield Montana.
Healthy Montana Kids (HMK) BCSMT 835
Healthy Montana Kids (HMK)
Payer ID
BCSMT
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment form can be found under Blue Cross Blue Shield Montana.
Healthy Montana Kids (HMK) BCSMT 837P
Healthy New Life Corp
Payer ID
MSC92
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy New Life Corp MSC92 837I
Healthy New Life Corp
Payer ID
MSC92
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy New Life Corp MSC92 837P
Health York Network
Payer ID
22251
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Health York Network 22251 837I
Health York Network
Payer ID
22251
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Health York Network 22251 837P
Healthy San Francisco
Payer ID
HSF01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Healthy San Francisco HSF01 837P
Healthy San Francisco
Payer ID
HSF01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy San Francisco HSF01 837I
Healthy Valley Provider Network
Payer ID
HVPNI
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Valley Provider Network HVPNI 837I
Healthy Valley Provider Network
Payer ID
HVPNI
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Healthy Valley Provider Network HVPNI 837P
Heartland Coca-Cola Bottling Company LLC
Payer ID
J2753
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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Heartland Coca-Cola Bottling Company LLC J2753 837P
Heartland Coca-Cola Bottling Company LLC
Payer ID
J2753
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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Heartland Coca-Cola Bottling Company LLC J2753 837I
Heartland Coca-Cola Bottling Company LLC
Payer ID
J2753
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.
Heartland Coca-Cola Bottling Company LLC J2753 835
Heartland Express - CORVEL
Payer ID
J1677
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Heartland Express - CORVEL J1677 837P
Heartland Express - CORVEL
Payer ID
J1677
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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Heartland Express - CORVEL J1677 837I
Heartland Express, Inc.
Payer ID
J2754
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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Heartland Express, Inc. J2754 837P
Heartland Express, Inc.
Payer ID
J2754
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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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.
Heartland Express, Inc. J2754 835
Heartland Express, Inc.
Payer ID
J2754
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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Heartland Express, Inc. J2754 837I
Heartland, LLC
Payer ID
J4809
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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Heartland, LLC J4809 837P
Heartland, LLC
Payer ID
J4809
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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Heartland, LLC J4809 837I
HEB Grocery Company, LP
Payer ID
J2223
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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HEB Grocery Company, LP J2223 837P
HEB Grocery Company, LP
Payer ID
J2223
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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HEB Grocery Company, LP J2223 837I
Hebrew Homes Health Network, Inc.
Payer ID
J4015
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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Hebrew Homes Health Network, Inc. J4015 837P
Hebrew Homes Health Network, Inc.
Payer ID
J4015
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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Hebrew Homes Health Network, Inc. J4015 837I
Hebrew Homes Health Network, Inc.
Payer ID
J4015
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.
Hebrew Homes Health Network, Inc. J4015 835
HellermannTyton Corporation
Payer ID
J2755
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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HellermannTyton Corporation J2755 837P
HellermannTyton Corporation
Payer ID
J2755
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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HellermannTyton Corporation J2755 837I
HellermannTyton Corporation
Payer ID
J2755
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.
