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
Right Choice Benefit Administrators
Payer ID
37331
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
Right Choice Benefit Administrators 37331 837P
Rios Arizona IPA
Payer ID
RIOSA
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
Rios Arizona IPA RIOSA 837P
Rios Arizona IPA
Payer ID
RIOSA
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
Hide note
As soon as providers set up EFT the ERAs are turned on automatically. To set up EFT you may contact Rios Arizona IPA at 1-844-220-9222.
Rios Arizona IPA RIOSA 835
Rios Arizona IPA
Payer ID
RIOSA
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
Rios Arizona IPA RIOSA 837I
Rios Health Plan
Payer ID
RHPCA
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
Rios Health Plan RHPCA 837I
Rios Health Plan
Payer ID
RHPCA
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
Rios Health Plan RHPCA 837P
Rios Southwest Medical Group
Payer ID
RIOS1
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
Hide note
As soon as providers set up EFT, the ERAs are turned on automatically. To set up EFT, you may contact Rios Southwest Medical Group at 1-844-220-9222
Rios Southwest Medical Group RIOS1 835
Rios Southwest Medical Group
Payer ID
RIOS1
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
Rios Southwest Medical Group RIOS1 837I
Rios Southwest Medical Group
Payer ID
RIOS1
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
Rios Southwest Medical Group RIOS1 837P
Risk Administration Services
Payer ID
J1828
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Risk Administration Services J1828 837P
Risk Enterprise Management (REM)
Payer ID
J1491
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.
Risk Enterprise Management (REM) J1491 837P
RISRx
Payer ID
RISRX
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
RISRx RISRX 837P
RISRx
Payer ID
RISRX
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
RISRx RISRX 837I
RISRx
Payer ID
RISRX
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
Hide note
RISRx RISRX 835
River City Medical Group Senior
Payer ID
AMM23
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
River City Medical Group Senior AMM23 837P
River City Medical Group Senior
Payer ID
AMM23
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
River City Medical Group Senior AMM23 837I
Riverport Insurance (MN School Board Association)
Payer ID
J1546
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.
Riverport Insurance (MN School Board Association) J1546 837P
Riverside Medical Clinic
Payer ID
RMC01
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
Riverside Medical Clinic RMC01 837P
RiverSpring Health Plans
Payer ID
05178
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
RiverSpring Health Plans 05178 837P
RiverSpring Health Plans
Payer ID
05178
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
RiverSpring Health Plans 05178 837I
RMSCO, Inc.
Payer ID
16117
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
RMSCO, Inc. 16117 837P
RMSCO, Inc.
Payer ID
16117
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
RMSCO, Inc. 16117 837I
Robert F Kennedy Medical Plan
Payer ID
44412
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
Robert F Kennedy Medical Plan 44412 837P
Robert F Kennedy Medical Plan
Payer ID
44412
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
Robert F Kennedy Medical Plan 44412 837I
Rocky Mountain Health Plan
Payer ID
ROCKYMTN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Rocky Mountain Health Plan ROCKYMTN 270 / 271
Rocky Mountain HMO
Payer ID
RMHMO
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
Rocky Mountain HMO RMHMO 837P
Rocky Mountain Pace
Payer ID
93142
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
Rocky Mountain Pace 93142 837P
Rocky Mountain Pace
Payer ID
93142
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
Rocky Mountain Pace 93142 837I
Root Insurance
Payer ID
J4304
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.
Root Insurance J4304 837P
Roseburg Forest Products - CORVEL
Payer ID
J3751
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Roseburg Forest Products - CORVEL J3751 837P
Royal Healthcare on behalf of Extended MLTC
Payer ID
46166
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
Royal Healthcare on behalf of Extended MLTC 46166 837P
Royal Healthcare on behalf of Extended MLTC
Payer ID
46166
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
Royal Healthcare on behalf of Extended MLTC 46166 837I
Royal Neighbors of America
Payer ID
ROYALNOA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Royal Neighbors of America ROYALNOA 270 / 271
Royal Neighbors of America Medicare Supplement
Payer ID
95720
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
Hide note
ERA only payer - IAS Admin Payer.
Royal Neighbors of America Medicare Supplement 95720 835
Royale Resources
Payer ID
RR001
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Royale Resources RR001 837D
RTG Medical Group
Payer ID
97736
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
RTG Medical Group 97736 837I
RTG Medical Group
Payer ID
97736
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
RTG Medical Group 97736 837P
Rubicon Health Group
Payer ID
IHS18
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
Rubicon Health Group IHS18 837I
Rubicon Health Group
Payer ID
IHS18
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
Rubicon Health Group IHS18 837P
Rush Prudential Health Plans - HMO Only
Payer ID
36389
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
Rush Prudential Health Plans - HMO Only 36389 837P
Rush Prudential Health Plans - HMO Only
Payer ID
36389
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
Rush Prudential Health Plans - HMO Only 36389 837I
Rutgers Casualty Insurance for NJ Auto
Payer ID
C1101
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.
Rutgers Casualty Insurance for NJ Auto C1101 837P
Ryan White Network (RWN)
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
Hide note
View note
Hide note
Ryan White Network (RWN) AMM03 837P
Ryan White Network (RWN)
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
Hide note
View note
Hide note
Ryan White Network (RWN) AMM03 837I
Ryder Services
Payer ID
J1009
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Ryder Services J1009 837P
S & S Healthcare Strategies
Payer ID
31441
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
S & S Healthcare Strategies 31441 837P
S & S Healthcare Strategies
Payer ID
31441
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
Hide note
S & S Healthcare Strategies 31441 835
S & S Healthcare Strategies
Payer ID
SNSHLTH
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
S & S Healthcare Strategies SNSHLTH 270 / 271
S. USA Life Medicare Supplement
Payer ID
95721
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
Hide note
ERA only payer - IAS Admin Payer. Enrollment is completed under Prosperity Life Group.
S. USA Life Medicare Supplement 95721 835
SA Recycling, LLC - CORVEL
Payer ID
J1728
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
SA Recycling, LLC - CORVEL J1728 837P
SafeCo Insurance
Payer ID
24740
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.
SafeCo Insurance 24740 837P
Safeco Insurance (Auto Only)
Payer ID
C1053
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.
Safeco Insurance (Auto Only) C1053 837P
SafeGuard
Payer ID
CX030
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
SafeGuard CX030 837D
SafeGuard Health Enterprises, Inc
Payer ID
CX030
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
SafeGuard Health Enterprises, Inc CX030 837D
Sagamore Health Network
Payer ID
35164
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
Sagamore Health Network 35164 837P
Sage Program
Payer ID
MNDH1
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
Sage Program MNDH1 837P
Sage Program
Payer ID
MNDH1
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
Sage Program MNDH1 837I
Sage Technologies
Payer ID
37105
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
Hide note
Sage Technologies 37105 835
Sage Technologies
Payer ID
37105
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
Sage Technologies 37105 837P
Sage Technologies
Payer ID
37105
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
Sage Technologies 37105 837I
Saint Agnes Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Saint Agnes Medical Group CAPMN 837P
Saint Agnes Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Saint Agnes Medical Group CAPMN 837I
Saint Agnes Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Saint Agnes Medical Group CAPMN 835
Saint Johns Health Clinic
Payer ID
SJHC1
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
To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (855)-359-6323.
Saint Johns Health Clinic SJHC1 837P
Saint Johns Health Clinic
Payer ID
SJHC1
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
To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (855)-359-6323.
Saint Johns Health Clinic SJHC1 837I
Saint Johns Health Clinic
Payer ID
SJHC1
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
Hide note
ERA enrollment is automatic.
Saint Johns Health Clinic SJHC1 835
Salt Lake City Corporation - CORVEL
Payer ID
J1730
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
Salt Lake City Corporation - CORVEL J1730 837P
Samaritan Advantage (SA01)
Payer ID
SAMHP
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
Previously Payer ID CP001.
Samaritan Advantage (SA01) SAMHP 837P
Samaritan Advantage (SA01)
Payer ID
SAMHP
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
Previously Payer ID CP001.
Samaritan Advantage (SA01) SAMHP 837I
Samaritan Advantage (SA01)
Payer ID
SAMHP
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
Hide note
Remittance Advice. Previously Payer ID CP001.
Samaritan Advantage (SA01) SAMHP 835
Samaritan Choice (SCP)
Payer ID
SAMHP
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
Previously Payer ID SAMHP.
Samaritan Choice (SCP) SAMHP 837P
Samaritan Choice (SCP)
Payer ID
SAMHP
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
Previously Payer ID SAMHP.
Samaritan Choice (SCP) SAMHP 837I
Samaritan Choice (SCP)
Payer ID
SAMHP
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
Hide note
Previously Payer ID SAMHP.
Samaritan Choice (SCP) SAMHP 835
Samaritan Health Plans
Payer ID
SAMHP
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Samaritan Health Plans SAMHP 270 / 271
Samaritan Health Plans
Payer ID
SAMHP
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
Previously payer ID CP001. Not the same as Samaritan Ministries. Do not use this payer ID for Samaritan Ministries.
Samaritan Health Plans SAMHP 837P
Samaritan Health Plans
Payer ID
SAMHP
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
Previously payer ID CP001. Not the same as Samaritan Ministries. Do not use this payer ID for Samaritan Ministries.
Samaritan Health Plans SAMHP 837I
Samaritan Health Plans
Payer ID
SAMHP
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
Hide note
Previously payer ID CP001. Not the same as Samaritan Ministries. Do not use this payer ID for Samaritan Ministries.
Samaritan Health Plans SAMHP 835
Samaritan Healthy Kids (KID)
Payer ID
SAMHP
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
Previously Payer ID CP001.
Samaritan Healthy Kids (KID) SAMHP 837I
Samaritan Healthy Kids (KID)
Payer ID
SAMHP
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
Previously Payer ID CP001.
Samaritan Healthy Kids (KID) SAMHP 837P
Samaritan Healthy Kids (KID)
Payer ID
SAMHP
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
Hide note
Remittance Advice. Previously Payer ID CP001.
Samaritan Healthy Kids (KID) SAMHP 835
Samaritan Ministries International
Payer ID
SM325
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
Samaritan Ministries International SM325 837P
Samaritan Ministries International
Payer ID
SM325
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
Samaritan Ministries International SM325 837I
SAMBA
Payer ID
37259
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
Hide note
Enrollment completed under Payer ID 'SAMBA'
SAMBA 37259 835
SAMBA
Payer ID
62308
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
SAMBA 62308 837P
SAMBA
Payer ID
62308
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
SAMBA 62308 837D
SAMBA
Payer ID
62308
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
SAMBA 62308 837I
Samera Health
Payer ID
U8053
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. Previously Benefits Administrative Solutions Inc
Samera Health U8053 837P
San Bernardino Medical Group (SBMED)
Payer ID
SBMED
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
San Bernardino Medical Group (SBMED) SBMED 837P
San Diego Community College District (CA) - CORVEL
Payer ID
J1638
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
San Diego Community College District (CA) - CORVEL J1638 837P
San Diego County Medical Services (CMS)
Payer ID
MSO11
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
San Diego County Medical Services (CMS) MSO11 837P
San Diego County Medical Services (CMS)
Payer ID
MSO11
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
San Diego County Medical Services (CMS) MSO11 837I
San Diego County Physician Emergency Services (PES)
Payer ID
MSO22
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
San Diego County Physician Emergency Services (PES) MSO22 837P
San Diego County Ryan White Care Act
Payer ID
MSO33
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
San Diego County Ryan White Care Act MSO33 837P
San Diego County Ryan White Care Act
Payer ID
MSO33
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
San Diego County Ryan White Care Act MSO33 837I
San Diego Neighborhood House Association
Payer ID
CPP04
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
San Diego Neighborhood House Association CPP04 837D
San Diego PACE
Payer ID
96400
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
San Diego PACE 96400 837P
San Diego PACE
Payer ID
96400
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
San Diego PACE 96400 837I
San Diego PACE
Payer ID
96400
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
Hide note
Payer returns ERAs automatically upon claim submission. If you were previously receiving ERAs from another clearinghouse, email EDIGatewayServices@VisibilEDI.com and ask ERAs be returned to Office Ally.
.svg)
