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
Provider Direct Network (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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Provider Direct Network (HealthSmart Preferred Care) 75250 837P
Provider Direct Network (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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Provider Direct Network (HealthSmart Preferred Care) 75250 837I
Provider Partners Health Plan of Illinois
Payer ID
31401
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Illinois 31401 837P
Provider Partners Health Plan of Illinois
Payer ID
31401
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Illinois 31401 837I
Provider Partners Health Plan of Illinois
Payer ID
31401
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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Provider Partners Health Plan of Illinois 31401 835
Provider Partners Health Plan of Maryland
Payer ID
31118
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Maryland 31118 837I
Provider Partners Health Plan of Maryland
Payer ID
31118
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 returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Maryland 31118 837P
Provider Partners Health Plan of Maryland
Payer ID
31118
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Maryland 31118 835
Provider Partners Health Plan of Missouri
Payer ID
31404
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 returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Missouri 31404 837P
Provider Partners Health Plan of Missouri
Payer ID
31404
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Missouri 31404 837I
Provider Partners Health Plan of Missouri
Payer ID
31404
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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Provider Partners Health Plan of Missouri 31404 835
Provider Partners Health Plan of North Carolina
Payer ID
31406
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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Payer returns ERA automatically.
Provider Partners Health Plan of North Carolina 31406 835
Provider Partners Health Plan of North Carolina
Payer ID
31406
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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Provider Partners Health Plan of North Carolina 31406 837I
Provider Partners Health Plan of North Carolina
Payer ID
31406
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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Provider Partners Health Plan of North Carolina 31406 837P
Provider Partners Health Plan of Ohio
Payer ID
31402
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Ohio 31402 837P
Provider Partners Health Plan of Ohio
Payer ID
31402
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Ohio 31402 837I
Provider Partners Health Plan of Ohio
Payer ID
31402
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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Provider Partners Health Plan of Ohio 31402 835
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
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 returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Pennsylvania 31400 837P
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
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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Provider Partners Health Plan of Pennsylvania 31400 835
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Pennsylvania 31400 837I
Provider Partners Health Plan of Texas
Payer ID
31405
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Texas 31405 837P
Provider Partners Health Plan of Texas
Payer ID
31405
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Texas 31405 837I
Provider Partners Health Plan of Texas
Payer ID
31405
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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Provider Partners Health Plan of Texas 31405 835
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Missouri Community Plan (HMO I-SNP) 31404 837P
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
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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Provider Partners Missouri Community Plan (HMO I-SNP) 31404 835
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Missouri Community Plan (HMO I-SNP) 31404 837I
Provider Partners North Carolina Community Plan
Payer ID
31406
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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Provider Partners North Carolina Community Plan 31406 837I
Provider Partners North Carolina Community Plan
Payer ID
31406
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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Provider Partners North Carolina Community Plan 31406 837P
Provider Partners North Carolina Community Plan
Payer ID
31406
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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Payer returns ERA automatically.
Provider Partners North Carolina Community Plan 31406 835
ProviDRs Care Network
Payer ID
48100
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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ProviDRs Care Network 48100 837P
ProviDRs Care Network
Payer ID
48100
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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ProviDRs Care Network 48100 837I
Prudent Medical Group
Payer ID
MPM25
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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Formerly known as Hollywood Presbyterian Medical Group
Prudent Medical Group MPM25 837P
Prudent Medical Group
Payer ID
MPM25
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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Formerly known as Hollywood Presbyterian Medical Group
Prudent Medical Group MPM25 837I
Pruitt Health Premier
Payer ID
PH001
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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Pruitt Health Premier PH001 837P
Pruitt Health Premier
Payer ID
PH001
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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Pruitt Health Premier PH001 837I
Pruitt Health Premier
Payer ID
PH001
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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Pruitt Health Premier PH001 835
Pruitt Health Premier NC & SC
Payer ID
PHPC1
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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Pruitt Health Premier NC & SC PHPC1 837P
Pruitt Health Premier NC & SC
Payer ID
PHPC1
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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Pruitt Health Premier NC & SC PHPC1 837I
PSKW
Payer ID
PSKW0
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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PSKW PSKW0 837I
PSKW
Payer ID
PSKW0
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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PSKW PSKW0 837P
PSKW
Payer ID
PSKW0
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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PSKW PSKW0 835
PsycHealth Care Management LLC
Payer ID
A2797
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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PsycHealth Care Management LLC A2797 835
PsycHealth Care Management LLC
Payer ID
A2797
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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PsycHealth Care Management LLC A2797 837I
PsycHealth Care Management LLC
Payer ID
A2797
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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PsycHealth Care Management LLC A2797 837P
Psychiatric Centers at San Diego (PCSD)
Payer ID
PCSD1
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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Psychiatric Centers at San Diego (PCSD) PCSD1 837P
Public Alliance Insurance Coverage Fund (PAIC Jif)
Payer ID
J3936
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.
Public Alliance Insurance Coverage Fund (PAIC Jif) J3936 837P
Public Employee Benefit Authority
Payer ID
PEBA
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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Public Employee Benefit Authority PEBA 276 / 277
Public Employee Benefit Authority
Payer ID
PEBA
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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Public Employee Benefit Authority PEBA 270 / 271
Public Employees Health Plan (PEHP)
Payer ID
PEHP
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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Public Employees Health Plan (PEHP) PEHP 270 / 271
Public Employees Health Plan (PEHP)
Payer ID
SX106
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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A UHIN pass through few applies to this transaction.
Public Employees Health Plan (PEHP) SX106 837I
Public Employees Health Plan (PEHP)
Payer ID
SX106
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
Hide note
A UHIN pass through few applies to this transaction.
Public Employees Health Plan (PEHP) SX106 837P
Public Employees Health Plan (PEHP)
Payer ID
SX106
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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View note
Hide note
A UHIN pass through few applies to this transaction.
Public Employees Health Plan (PEHP) SX106 835
Public Employees Health Program
Payer ID
13150
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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Public Employees Health Program 13150 270 / 271
Public Health Medical Services (PHMS)
Payer ID
AMM03
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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Public Health Medical Services (PHMS) AMM03 837P
Public Health Medical Services (PHMS)
Payer ID
AMM03
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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Public Health Medical Services (PHMS) AMM03 837I
Public WC Program
Payer ID
J3949
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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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Public WC Program J3949 837P
Publix Super Markets, Inc.
Payer ID
J1897
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
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Auto only. At this time, only Professional (HCFA) claims are accepted.
Pure Insurance C1088 837P
Puritan Life Insurance
Payer ID
PURITAN
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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Puritan Life Insurance PURITAN 270 / 271
QBE - General Casualty - Sun Prairie
Payer ID
J1489
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
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
QBE - General Casualty - Sun Prairie J1489 837P
QCA Health Plan
Payer ID
35174
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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QCA Health Plan 35174 837P
QCA Health Plan
Payer ID
35174
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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QCA Health Plan 35174 837I
QCA Health Plan
Payer ID
35174
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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QCA Health Plan 35174 835
Quad Cities Community Health Plan (QCCH)
Payer ID
40437
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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Quad Cities Community Health Plan (QCCH) 40437 837P
Quad Cities Community Health Plan (QCCH)
Payer ID
40437
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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Quad Cities Community Health Plan (QCCH) 40437 837I
QualCare (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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For Health Net members only (at this time), effective 11/1/16 (Date of Service).
QualCare (Managed Care Systems) MCS03 837P
QualCare (Managed Care Systems)
Payer ID
MCS03
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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View note
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For Health Net members only (at this time), effective 11/1/16 (Date of Service).
QualCare (Managed Care Systems) MCS03 837I
QualCare (Managed Care Systems)
Payer ID
MCS03
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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For Health Net members only (at this time), effective 11/1/16 (Date of Service).
QualCare (Managed Care Systems) MCS03 835
QualCare IPA
Payer ID
QCP01
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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QualCare IPA QCP01 837I
QualCare IPA
Payer ID
QCP01
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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QualCare IPA QCP01 837P
QualChoice Advantage
Payer ID
42172
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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QualChoice Advantage 42172 837I
QualChoice Advantage
Payer ID
42172
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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QualChoice Advantage 42172 837P
QualChoice Advantage
Payer ID
42172
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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QualChoice Advantage 42172 835
QualChoice Health Insurance
Payer ID
35174
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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QualChoice Health Insurance 35174 837P
QualChoice Health Insurance
Payer ID
35174
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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QualChoice Health Insurance 35174 837I
QualChoice Health Insurance
Payer ID
35174
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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QualChoice Health Insurance 35174 835
QualChoice of Arkansas
Payer ID
35174
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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QualChoice of Arkansas 35174 837P
QualChoice of Arkansas
Payer ID
35174
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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QualChoice of Arkansas 35174 837I
QualChoice of Arkansas
Payer ID
35174
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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QualChoice of Arkansas 35174 835
QualChoice of Arkansas
Payer ID
QUALCHOICE-AR
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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QualChoice of Arkansas QUALCHOICE-AR 270 / 271
Qualexa Healthcare
Payer ID
86772
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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Qualexa Healthcare 86772 837I
Qualexa Healthcare
Payer ID
86772
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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Qualexa Healthcare 86772 837P
Quality Care Partners
Payer ID
89461
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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Quality Care Partners 89461 837P
Quality Care Partners
Payer ID
89461
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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Quality Care Partners 89461 837I
Quartz
Payer ID
39180
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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Also known as Quartz ASO and Gundersen Health Plan
Quartz 39180 837P
Quartz
Payer ID
39180
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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Also known as Quartz ASO and Gundersen Health Plan
Quartz 39180 837I
Quartz
Payer ID
39180
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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Also known as Quartz ASO and Gundersen Health Plan
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