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
Principal Mutual Life Insurance Co.
Payer ID
61271
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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Principal Mutual Life Insurance Co. 61271 837D
Priority Health
Payer ID
38217
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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Priority Health 38217 837P
Priority Health
Payer ID
38217
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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Priority Health 38217 835
Priority Health
Payer ID
38217
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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Priority Health 38217 837I
Priority Health
Payer ID
PRIORITY-HEALTH
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Priority Health PRIORITY-HEALTH 270 / 271
Prism - Univera
Payer ID
37315
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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Prism - Univera 37315 837P
Prism Health Networks
Payer ID
37268
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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Prism Health Networks 37268 837P
Prism Health Networks
Payer ID
37268
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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Prism Health Networks 37268 837I
prnLink-MLK
Payer ID
PRNLK
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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prnLink-MLK PRNLK 837P
ProCare (Prospect)
Payer ID
PROSP
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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ProCare (Prospect) PROSP 837P
ProCare (Prospect)
Payer ID
PROSP
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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ProCare (Prospect) PROSP 837I
ProCare (TX)
Payer ID
PTX01
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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ProCare (TX) PTX01 837P
ProCare (TX)
Payer ID
PTX01
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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ProCare (TX) PTX01 837I
ProCare - PremierCare IPA
Payer ID
PCMSO
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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ProCare - PremierCare IPA PCMSO 837I
ProCare - PremierCare IPA
Payer ID
PCMSO
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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ProCare - PremierCare IPA PCMSO 837P
Procare Health Plan - Medicaid
Payer ID
70259
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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Procare Health Plan - Medicaid 70259 837P
Procare Health Plan - Medicaid
Payer ID
70259
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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Procare Health Plan - Medicaid 70259 837I
Prodegi
Payer ID
87605
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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Prodegi 87605 837P
Prodegi
Payer ID
87605
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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Prodegi 87605 837I
Professional Benefit Administrators, Inc.
Payer ID
36331
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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Payer ID is valid only for claims with billing address of Professional Benefit Administrators, Inc. in Oak Brook, Illinois.
Professional Benefit Administrators, Inc. 36331 837P
Professional Benefit Administrators, Inc.
Payer ID
36331
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Payer ID is valid only for claims with billing address of Professional Benefit Administrators, Inc. in Oak Brook, Illinois.
Professional Benefit Administrators, Inc. 36331 835
Professional Benefit Administrators, Inc.
Payer ID
PROF-BEN-ADMIN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Professional Benefit Administrators, Inc. PROF-BEN-ADMIN 270 / 271
Professional Health Care Network
Payer ID
26748
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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Professional Health Care Network 26748 837P
Professional Health Care Network
Payer ID
26748
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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Professional Health Care Network 26748 837I
Progressive Casualty Insurance Company
Payer ID
J3692
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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Auto only. Covers MN, NJ.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Casualty Insurance Company J3692 837P
Progressive Classic Insurance Company
Payer ID
J1788
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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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Classic Insurance Company J1788 837P
Progressive Commercial Casualty Company
Payer ID
J1779
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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Hide note
Auto only. Covers MN, NJ.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Commercial Casualty Company J1779 837P
Progressive Direct Insurance Company
Payer ID
J1780
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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Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Direct Insurance Company J1780 837P
Progressive Insurance
Payer ID
J1748
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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Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Insurance J1748 837P
Progressive Max Insurance Company
Payer ID
J1783
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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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Max Insurance Company J1783 837P
Progressive Medical Associates, Inc
Payer ID
PMAI2
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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ERAs will be sent automatically after the provider begins submitting.
Progressive Medical Associates, Inc PMAI2 837P
Progressive Medical Associates, Inc
Payer ID
PMAI2
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
View note
Hide note
ERAs will be sent automatically after the provider begins submitting.
Progressive Medical Associates, Inc PMAI2 837I
Progressive Medical Associates, Inc
Payer ID
PMAI2
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
View note
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ERAs will be sent automatically after the provider begins submitting.
Progressive Medical Associates, Inc PMAI2 835
Progressive Northern Insurance Company
Payer ID
J1786
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
Hide note
View note
Hide note
Auto only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Northern Insurance Company J1786 837P
Progressive Northwestern Insurance Company
Payer ID
J1787
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
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Northwestern Insurance Company J1787 837P
Progressive Preferred Insurance Company
Payer ID
J1785
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
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Preferred Insurance Company J1785 837P
Progressive Premier Insurance Company
Payer ID
J1781
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
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Premier Insurance Company J1781 837P
Progressive Specialty Insurance Company
Payer ID
J1784
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
Hide note
View note
Hide note
Auto only. Covers MN, NJ.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Progressive Specialty Insurance Company J1784 837P
Progyny
Payer ID
PROGY
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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Progyny PROGY 837P
Progyny
Payer ID
PROGY
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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Progyny PROGY 837I
Prominence Administrative Services
Payer ID
88022
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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Prominence Administrative Services 88022 837P
Prominence Administrative Services
Payer ID
88022
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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Prominence Administrative Services 88022 837I
Prominence Health Plan
Payer ID
88029
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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Prominence Health Plan 88029 835
Prominence Health Plan
Payer ID
88029
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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Prominence Health Plan 88029 837P
Prominence Health Plan
Payer ID
88029
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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Prominence Health Plan 88029 837I
Prominence Health Plan
Payer ID
PROMHP
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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Prominence Health Plan PROMHP 270 / 271
Prominence Health Plan of Nevada
Payer ID
93082
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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Prominence Health Plan of Nevada 93082 837I
Prominence Health Plan of Nevada
Payer ID
93082
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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Prominence Health Plan of Nevada 93082 837P
Prominence Health Plan of Nevada
Payer ID
PROMHPNV
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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View note
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Prominence Health Plan of Nevada PROMHPNV 270 / 271
Prominence Health Plan of Texas
Payer ID
80095
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 completed under Prominence Health Plan
Prominence Health Plan of Texas 80095 835
Prominence Health Plan of Texas
Payer ID
80095
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Prominence Health Plan of Texas 80095 837P
Prominence Health Plan of Texas
Payer ID
PROMHPTX
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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Prominence Health Plan of Texas PROMHPTX 270 / 271
Prominence Health Plan of Texas
Payer ID
80095
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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Prominence Health Plan of Texas 80095 837I
Prominence Healthfirst Florida
Payer ID
83352
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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Prominence Healthfirst Florida 83352 837I
Prominence Healthfirst Florida
Payer ID
83352
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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Prominence Healthfirst Florida 83352 837P
Prominence Healthfirst Florida
Payer ID
PHFFL
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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Prominence Healthfirst Florida PHFFL 270 / 271
Prominence Preferred Health Insurance Company
Payer ID
PPHIC
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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View note
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Prominence Preferred Health Insurance Company PPHIC 270 / 271
Prospect Health Services of Texas
Payer ID
PROSP
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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Prospect Health Services of Texas PROSP 837P
Prospect Health Services of Texas
Payer ID
PROSP
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
View note
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Prospect Health Services of Texas PROSP 837I
Prospect Medical Group
Payer ID
PROSP
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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Prospect Medical Group PROSP 837P
Prospect Medical Group
Payer ID
PROSP
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
View note
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Prospect Medical Group PROSP 837I
Prospect Provider Group of Rhode Island
Payer ID
PROSP
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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Prospect Provider Group of Rhode Island PROSP 837P
Prospect Provider Group of Rhode Island
Payer ID
PROSP
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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Prospect Provider Group of Rhode Island PROSP 837I
Prospect Sherman Oaks Medical Group
Payer ID
PROSP
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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Prospect Sherman Oaks Medical Group PROSP 837P
Prospect Sherman Oaks Medical Group
Payer ID
PROSP
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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Prospect Sherman Oaks Medical Group PROSP 837I
Prosperity Life
Payer ID
89486
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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Prosperity Life 89486 837I
Prosperity Life
Payer ID
89486
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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Prosperity Life 89486 837P
Protective Insurance
Payer ID
J1568
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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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Protective Insurance J1568 837P
Protective Life Insurance
Payer ID
37309
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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Protective Life Insurance 37309 837P
Protective Life Insurance
Payer ID
37309
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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Protective Life Insurance 37309 837I
Protector 360
Payer ID
68756
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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Protector 360 68756 837P
Protector 360
Payer ID
68756
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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Protector 360 68756 837I
Providence Facility Claims
Payer ID
PROV1
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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To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (855)-359-6323.
Providence Facility Claims PROV1 837P
Providence Facility Claims
Payer ID
PROV1
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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To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (855)-359-6323.
Providence Facility Claims PROV1 837I
Providence Facility Claims
Payer ID
PROV1
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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To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (855)-359-6323
Providence Facility Claims PROV1 835
Providence Health Assurance
Payer ID
77350
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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Administered by PH TECH - Effective Date: 1/1/2021
Providence Health Assurance 77350 837P
Providence Health Assurance
Payer ID
77350
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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Administered by PH TECH - Effective Date: 1/1/2021
Providence Health Assurance 77350 837I
Providence Health Assurance
Payer ID
PROV-HA
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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Providence Health Assurance PROV-HA 270 / 271
Providence Health Assurance Medicare Supplement
Payer ID
77525
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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Providence Health Assurance Medicare Supplement 77525 835
Providence Health Assurance Medicare Supplement
Payer ID
PROV-HAMS
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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Providence Health Assurance Medicare Supplement PROV-HAMS 270 / 271
Providence Health Assurance Medicare Supplement
Payer ID
77525
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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Providence Health Assurance Medicare Supplement 77525 837I
Providence Health Assurance Medicare Supplement
Payer ID
77525
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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Providence Health Assurance Medicare Supplement 77525 837P
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