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
ICare Health Options
Payer ID
26054
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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ICare Health Options 26054 837P
ICare Health Options
Payer ID
26054
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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ICare Health Options 26054 835
iCARE (Independent Care Health Plan)
Payer ID
11695
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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To activate ERA/835's, email netdev@icare-wi.org requesting they be activated.
iCARE (Independent Care Health Plan) 11695 837P
iCARE (Independent Care Health Plan)
Payer ID
11695
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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To activate ERA/835's, email netdev@icare-wi.org requesting they be activated.
iCARE (Independent Care Health Plan) 11695 837I
iCARE (Independent Care Health Plan)
Payer ID
ICARE
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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iCARE (Independent Care Health Plan) ICARE 270 / 271
iCARE (Independent Care Health Plan)
Payer ID
11695
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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To activate ERA/835's, email netdev@icare-wi.org requesting they be activated.
iCARE (Independent Care Health Plan) 11695 835
Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL
Payer ID
J3747
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL J3747 837P
Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL
Payer ID
J3747
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL J3747 837I
Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL
Payer ID
J3747
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL J3747 835
ICW Casualty Insurance Company
Payer ID
J4449
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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ICW Casualty Insurance Company J4449 837P
ICW Casualty Insurance Company
Payer ID
J4449
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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ICW Casualty Insurance Company J4449 837I
ICW Casualty Insurance Company
Payer ID
J4449
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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.
ICW Casualty Insurance Company J4449 835
ICW National Insurance Company
Payer ID
J4448
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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ICW National Insurance Company J4448 837P
ICW National Insurance Company
Payer ID
J4448
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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ICW National Insurance Company J4448 837I
ICW National Insurance Company
Payer ID
J4448
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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.
ICW National Insurance Company J4448 835
ICW Premier Insurance Company
Payer ID
J4450
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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ICW Premier Insurance Company J4450 837P
ICW Premier Insurance Company
Payer ID
J4450
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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ICW Premier Insurance Company J4450 837I
ICW Premier Insurance Company
Payer ID
J4450
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
ICW Premier Insurance Company J4450 835
Idaho State Insurance Fund (ISIF)
Payer ID
J4738
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Idaho State Insurance Fund (ISIF) J4738 837I
Idaho State Insurance Fund (ISIF)
Payer ID
J4738
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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.
Idaho State Insurance Fund (ISIF) J4738 835
Idaho State Insurance Fund (ISIF)
Payer ID
J4738
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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Idaho State Insurance Fund (ISIF) J4738 837P
IEHP Dental (Admin by LIBERTY Dental Plan)
Payer ID
LDP12
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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IEHP Dental (Admin by LIBERTY Dental Plan) LDP12 837D
I. E. Shaffer
Payer ID
22175
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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West Trenton, New Jersey.
I. E. Shaffer 22175 837I
I. E. Shaffer
Payer ID
22175
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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West Trenton, New Jersey.
I. E. Shaffer 22175 837P
I. E. Shaffer
Payer ID
22175
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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West Trenton, New Jersey.
I. E. Shaffer 22175 835
IHC Health Solutions
Payer ID
86304
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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IHC Health Solutions 86304 837P
IHC Health Solutions
Payer ID
86304
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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IHC Health Solutions 86304 837I
iHeart Media, Inc.
Payer ID
J2360
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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iHeart Media, Inc. J2360 837P
iHeart Media, Inc.
Payer ID
J2360
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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iHeart Media, Inc. J2360 837I
iHeart Media, Inc.
Payer ID
J2360
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
iHeart Media, Inc. J2360 835
IH Plans, Inc.
Payer ID
IHP21
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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IH Plans, Inc. IHP21 837P
IH Plans, Inc.
Payer ID
IHP21
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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IH Plans, Inc. IHP21 837I
Ilitch Holdings, Inc.
Payer ID
J2788
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Ilitch Holdings, Inc. J2788 837P
Ilitch Holdings, Inc.
Payer ID
J2788
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Ilitch Holdings, Inc. J2788 837I
Ilitch Holdings, Inc.
Payer ID
J2788
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Ilitch Holdings, Inc. J2788 835
Illinicare Health Plan (Centene)
Payer ID
ILLINICARE
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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Illinicare Health Plan (Centene) ILLINICARE 270 / 271
Illinicare Health Plan (Centene)
Payer ID
ILLINICARE
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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Illinicare Health Plan (Centene) ILLINICARE 276 / 277
Illinois Health Plans (IHP)
Payer ID
DMG01
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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Illinois Health Plans (IHP) DMG01 837I
Illinois Health Plans (IHP)
Payer ID
DMG01
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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Enrollment is completed under Dupage Medical Group
Illinois Health Plans (IHP) DMG01 835
Illinois Health Plans (IHP)
Payer ID
DMG01
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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Illinois Health Plans (IHP) DMG01 837P
Illinois Insurance Guaranty Fund (IIGF)
Payer ID
J3984
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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Illinois Insurance Guaranty Fund (IIGF) J3984 837P
Illinois Insurance Guaranty Fund (IIGF)
Payer ID
J3984
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Illinois Insurance Guaranty Fund (IIGF) J3984 837I
Illinois Insurance Guaranty Fund (IIGF)
Payer ID
J3984
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
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.
Illinois State Toll Highway Authority J3344 835
ILWU Local 21 (FCHN)
Payer ID
91131
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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ILWU Local 21 (FCHN) 91131 837I
ILWU Local 21 (FCHN)
Payer ID
91131
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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ILWU Local 21 (FCHN) 91131 837P
IL Youthcare (Centene)
Payer ID
68069
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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IL Youthcare (Centene) 68069 837P
IL Youthcare (Centene)
Payer ID
68069
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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IL Youthcare (Centene) 68069 837I
IL Youthcare (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA forms will be listed under Centene Corporation
IL Youthcare (Centene) 68069 835
IMA (Cotiva)
Payer ID
72091
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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1325 Barksdale Blvd Suite 300, Bossier City, LA 71111
IMA (Cotiva) 72091 837I
IMA (Cotiva)
Payer ID
72091
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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1325 Barksdale Blvd Suite 300, Bossier City, LA 71111
Imperial Insurance Companies INC EXCHANGE UT IEXUT 837I
Imperial Insurance Companies INC EXCHANGE UT
Payer ID
IEXUT
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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Imperial Insurance Companies INC EXCHANGE UT IEXUT 837P
Imperial Insurance Encounters
Payer ID
ITXEN
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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Imperial Insurance Encounters ITXEN 837P
Imperial Insurance Encounters
Payer ID
ITXEN
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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Imperial Insurance Encounters ITXEN 837I
Imperial Insurance Encounters
Payer ID
ITXEN
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Imperial Insurance Encounters ITXEN 837D
Imperium Insurance Company
Payer ID
J2247
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Imperium Insurance Company J2247 837P
Imperium Insurance Company
Payer ID
J2247
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Imperium Insurance Company J2247 837I
Imperium Insurance Company
Payer ID
J2247
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
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Payer returns ERAs automatically once electronic claim submission begins. No payer enrollment is required; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
