All Available Payers with Office Ally Payer List

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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
Hillenbrand, Inc.
Payer ID
J2764
Payer ID
Transaction
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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Hillenbrand, Inc.
Payer ID
J2764
Payer ID
Transaction
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.
Hilliard City School District
Payer ID
J2765
Payer ID
Transaction
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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Hilliard City School District
Payer ID
J2765
Payer ID
Transaction
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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Hilliard City School District
Payer ID
J2765
Payer ID
Transaction
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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Hilliard Corporation (UCS)
Payer ID
80520
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hilliard Corporation (UCS)
Payer ID
80520
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hill Physicians Aetna PPO
Payer ID
HLPAE
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hill Physicians Blue Cross PPO
Payer ID
HLPBC
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hill Physicians Blue Shield PPO
Payer ID
HLPBS
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hill Physicians Cigna PPO
Payer ID
HLPCG
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hill Physicians Health Net PPO
Payer ID
HLPHN
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hill Physicians Medical Group (HPMG)
Payer ID
HIL01
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Institutional claims are accepted, but only for DOS on/after 5/31/16.
Hill Physicians Medical Group (HPMG)
Payer ID
HIL01
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Institutional claims are accepted, but only for DOS on/after 5/31/16.
Hill Physicians Medical Group (HPMG)
Payer ID
HIL01
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Institutional claims are accepted, but only for DOS on/after 5/31/16.
Hill Physicians United Healthcare PPO
Payer ID
HLPUH
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hillshire Brands - CORVEL
Payer ID
J1959
Payer ID
Transaction
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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Hillshire Brands - CORVEL
Payer ID
J1959
Payer ID
Transaction
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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Hill UHCSR PPO
Payer ID
HPU22
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hilmar Cheese Company - CORVEL
Payer ID
J1833
Payer ID
Transaction
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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Hilmar Cheese Company - CORVEL
Payer ID
J1833
Payer ID
Transaction
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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Hilton Grand Vacation Inc.
Payer ID
J2766
Payer ID
Transaction
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.
Hilton Grand Vacation Inc.
Payer ID
J2766
Payer ID
Transaction
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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Hilton Grand Vacation Inc.
Payer ID
J2766
Payer ID
Transaction
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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Hilton Los Angeles/Universal City
Payer ID
J2767
Payer ID
Transaction
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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Hide note
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Hilton Los Angeles/Universal City
Payer ID
J2767
Payer ID
Transaction
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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Hilton Los Angeles/Universal City
Payer ID
J2767
Payer ID
Transaction
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.
Hilton Worldwide Inc.
Payer ID
J2768
Payer ID
Transaction
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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Hilton Worldwide Inc.
Payer ID
J2768
Payer ID
Transaction
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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Hide note
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Hilton Worldwide Inc.
Payer ID
J2768
Payer ID
Transaction
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.
Hinge Health
Payer ID
HINGE
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hinge Health
Payer ID
HINGE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hinge Health
Payer ID
HINGE
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hinsdale Physicians Healthcare
Payer ID
37105
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Enrollment completed under payer Sage Technologies.
Hinsdale Physicians Healthcare
Payer ID
37105
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hinsdale Physicians Healthcare
Payer ID
37105
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HIP Healthplan of NY
Payer ID
10345
Payer ID
Transaction
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hire Dynamics LLC
Payer ID
J2769
Payer ID
Transaction
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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Hire Dynamics LLC
Payer ID
J2769
Payer ID
Transaction
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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Hire Dynamics LLC
Payer ID
J2769
Payer ID
Transaction
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.
Hispanic Food Holdings, LLC
Payer ID
J2770
Payer ID
Transaction
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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Hispanic Food Holdings, LLC
Payer ID
J2770
Payer ID
Transaction
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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Hide note
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Hispanic Food Holdings, LLC
Payer ID
J2770
Payer ID
Transaction
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.
Hispanic Physician IPA (Encounters Only)
Payer ID
HPIPA
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Encounters Only. Payer ID Required.
Hispanic Physician IPA (Encounters Only)
Payer ID
HPIPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Hispanic Physicians IPA (Fee For Service Only)
Payer ID
HPFFS
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Fee For Service Only. Payer ID Required.
HK Administrative Partners LLC
Payer ID
97455
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HMA Hawaii
Payer ID
HMA-HI
Payer ID
Transaction
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HMA Hawaii
Payer ID
HMA-HI
Payer ID
Transaction
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HMC HealthWorks
Payer ID
75318
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HMC HealthWorks
Payer ID
75318
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HMO LA Blue Advantage
Payer ID
LABLUE-ADV
Payer ID
Transaction
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HMO LA Blue Advantage
Payer ID
72107
Payer ID
Transaction
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 on or after 1/1/2021.
HMO LA Blue Advantage
Payer ID
72107
Payer ID
Transaction
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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For DOS on or after 1/1/2021.
HMO LA Blue Advantage
Payer ID
72107
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For DOS on or after 1/1/2021. ERA Enrollment is completed under BCBS of Louisiana (53120)
HMSA Quest
Payer ID
HMSA1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HMSA Quest
Payer ID
HMSA1
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HMSA Quest
Payer ID
HMSA1
Payer ID
Transaction
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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Hide note
HMSA Quest
Payer ID
HMSA1
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HMSHost - CORVEL
Payer ID
J1612
Payer ID
Transaction
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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HMSHost - CORVEL
Payer ID
J1612
Payer ID
Transaction
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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HMS Vineyards - CORVEL
Payer ID
J3924
Payer ID
Transaction
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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HMS Vineyards - CORVEL
Payer ID
J3924
Payer ID
Transaction
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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HMS Vineyards - CORVEL
Payer ID
J3924
Payer ID
Transaction
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.
HN1 Therapy Network
Payer ID
65062
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HN1 Therapy Network
Payer ID
65062
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HN1 Therapy Network
Payer ID
65062
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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HNS WellCare SC
Payer ID
HWC02
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hoag Affiliated Physicians
Payer ID
STJOE
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hoag Affiliated Physicians
Payer ID
STJOE
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hoag Clinic (Hoag Physician Partners)
Payer ID
HPPZZ
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective 1/1/2020.
Hoag Clinic (Hoag Physician Partners)
Payer ID
HPPZZ
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective 1/1/2020.
Hoag Memorial Hospital Presbyterian
Payer ID
J4038
Payer ID
Transaction
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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Hoag Memorial Hospital Presbyterian
Payer ID
J4038
Payer ID
Transaction
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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Hoag Memorial Hospital Presbyterian
Payer ID
J4038
Payer ID
Transaction
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.
Hoag Memorial Hospital Presbyterian - Guaranteed Cost
Payer ID
J4351
Payer ID
Transaction
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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Hoag Memorial Hospital Presbyterian - Guaranteed Cost
Payer ID
J4351
Payer ID
Transaction
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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Hoag Memorial Hospital Presbyterian - Guaranteed Cost
Payer ID
J4351
Payer ID
Transaction
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.
Hockenberg Equipment
Payer ID
59573
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hockenberg Equipment
Payer ID
59573
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Holista, LLC
Payer ID
ATHAL
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Holista, LLC
Payer ID
ATHAL
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hollywood Presbyterian Medical Center - Preferred (HPMC - PMG)
Payer ID
AMM18
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - Preferred).
Hollywood Presbyterian Medical Center - Preferred (HPMC - PMG)
Payer ID
AMM18
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - Preferred).
Hollywood Presbyterian Medical Center - San Judas IPA (HPMC - SJM)
Payer ID
AMM17
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - San Judas IPA).
Hollywood Presbyterian Medical Center - San Judas IPA (HPMC - SJM)
Payer ID
AMM17
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - San Judas IPA).
Hollywood Presbyterian Medical Center - St. Vincent's IPA (HPMC - SVI)
Payer ID
PDT02
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Previous Payer ID AMM19.
Hollywood Presbyterian Medical Center - St. Vincent's IPA (HPMC - SVI)
Payer ID
PDT02
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Previous Payer ID AMM19.
Hollywood Presbyterian Medical Group
Payer ID
CAPMN
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.
Hollywood Presbyterian Medical Group
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.
Hollywood Presbyterian Medical Group
Payer ID
CAPMN
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.
Hollywood Presbyterian San Judas
Payer ID
MPM49
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hollywood Presbyterian San Judas
Payer ID
MPM49
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Hollywood Pres GLOBAL
Payer ID
MPM29
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017.
Hollywood Pres GLOBAL
Payer ID
MPM29
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017.
HomeCare Connect / Paradigm Care at Home
Payer ID
J4657
Payer ID
Transaction
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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HomeCare Connect / Paradigm Care at Home
Payer ID
J4657
Payer ID
Transaction
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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Home Care Quality Authority
Payer ID
J2772
Payer ID
Transaction
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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Home Care Quality Authority
Payer ID
J2772
Payer ID
Transaction
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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Home Care Quality Authority
Payer ID
J2772
Payer ID
Transaction
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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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.