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
IMS TPA
Payer ID
87765
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
IMS TPA 87765 837P
IMS TPA: Parton Lumber (UCS)
Payer ID
17882
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
Effective January 1, 2017.
IMS TPA: Parton Lumber (UCS) 17882 837P
IMS TPA: Parton Lumber (UCS)
Payer ID
17882
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
Effective January 1, 2017.
IMS TPA: Parton Lumber (UCS) 17882 837I
IMS TPA: The Spencer Group
Payer ID
52393
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
Effective January 1, 2017.
IMS TPA: The Spencer Group 52393 837P
IMS - Trial Card (TC-IMS)
Payer ID
56155
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
PO Box 21145 Eagan MN 55121
IMS - Trial Card (TC-IMS) 56155 837I
IMS - Trial Card (TC-IMS)
Payer ID
56155
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
PO Box 21145 Eagan MN 55121
IMS - Trial Card (TC-IMS) 56155 837P
IMT
Payer ID
J3930
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
Hide note
View note
Hide note
IMT J3930 837I
IMT
Payer ID
J3930
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
IMT J3930 837P
IncentiCare
Payer ID
18151
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
IncentiCare 18151 837I
IncentiCare
Payer ID
18151
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
IncentiCare 18151 837P
INDECS, A Homestead Company
Payer ID
L0929
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
INDECS, A Homestead Company L0929 837I
INDECS, A Homestead Company
Payer ID
L0929
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
INDECS, A Homestead Company L0929 837P
INDECS Corporation
Payer ID
40585
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
INDECS Corporation 40585 837P
INDECS Corporation
Payer ID
40585
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
INDECS Corporation 40585 837I
INDECS Corporation
Payer ID
40585
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
INDECS Corporation 40585 835
Independence Administrators
Payer ID
54763
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
Independence Administrators 54763 835
Independence Administrators
Payer ID
11849
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
Independence Administrators 11849 270 / 271
Independence Administrators
Payer ID
54763
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
Independence Administrators 54763 837I
Independence Administrators
Payer ID
54763
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
Independence Administrators 54763 837P
Independence American, Ins. Co.
Payer ID
CB231
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
Independence American, Ins. Co. CB231 837I
Independence American, Ins. Co.
Payer ID
CB231
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
Independence American, Ins. Co. CB231 837P
Independence BC (Pennsylvania)
Payer ID
10366
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
Independence BC (Pennsylvania) 10366 270 / 271
Independence Blue Cross
Payer ID
BCINDP
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
Independence Blue Cross BCINDP 270 / 271
Independence Blue Cross
Payer ID
54704
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
Independence Blue Cross 54704 837P
Independence Blue Cross
Payer ID
54704
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
Independence Blue Cross 54704 835
Independence Blue Cross
Payer ID
54704
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
Independence Blue Cross 54704 837I
Independence Medical Group - Kern County
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
View note
Hide note
View note
Hide note
Effective DOS 7/1/2019 and after.
Independence Medical Group - Kern County MCS03 837P
Independence Medical Group - Kern County
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
Hide note
View note
Hide note
Effective DOS 7/1/2019 and after.
Independence Medical Group - Kern County MCS03 837I
Independence Medical Group - Tulare County
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
View note
Hide note
View note
Hide note
Effective DOS 7/1/2019 and after.
Independence Medical Group - Tulare County MCS03 837P
Independence Medical Group - Tulare County
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
Hide note
View note
Hide note
Effective DOS 7/1/2019 and after.
Independence Medical Group - Tulare County MCS03 837I
Independent Health
Payer ID
10368
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
Independent Health 10368 270 / 271
Independent Health
Payer ID
10368
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Independent Health 10368 276 / 277
Independent Health
Payer ID
95308
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
Independent Health 95308 837P
Independent Health
Payer ID
95308
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
Independent Health 95308 835
Independent Living System
Payer ID
45048
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
Independent Living System 45048 837P
Independent Living System
Payer ID
45048
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
Independent Living System 45048 837I
Independent Living Systems - CA
Payer ID
81397
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
Independent Living Systems - CA 81397 837P
Independent Living Systems - CA
Payer ID
81397
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
Independent Living Systems - CA 81397 837I
Indiana Farmers Mutual - CORVEL
Payer ID
J3960
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
Hide note
View note
Hide note
Indiana Farmers Mutual - CORVEL J3960 837I
Indiana Farmers Mutual - CORVEL
Payer ID
J3960
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
Indiana Farmers Mutual - CORVEL J3960 837P
Indiana Farmers Mutual - CORVEL
Payer ID
J3960
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
View note
Hide note
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.
Indiana Farmers Mutual - CORVEL J3960 835
Indiana Insurance
Payer ID
J1425
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
Indiana Insurance J1425 837P
Indiana Insurance
Payer ID
J1425
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
Hide note
View note
Hide note
Indiana Insurance J1425 837I
Indiana Public Employers Plan (IPEP) - CORVEL
Payer ID
J4447
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
Indiana Public Employers Plan (IPEP) - CORVEL J4447 837P
Indiana Public Employers Plan (IPEP) - CORVEL
Payer ID
J4447
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
Hide note
View note
Hide note
Indiana Public Employers Plan (IPEP) - CORVEL J4447 837I
Indiana Public Employers Plan (IPEP) - CORVEL
Payer ID
J4447
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
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.
Indiana Public Employers Plan (IPEP) - CORVEL J4447 835
Indiana University Health Incorporated
Payer ID
J2789
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
Indiana University Health Incorporated J2789 837P
Indiana University Health Incorporated
Payer ID
J2789
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
View note
Hide note
View note
Hide note
Indiana University Health Incorporated J2789 837I
Indiana University Health Incorporated
Payer ID
J2789
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
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.
Indiana University Health Incorporated J2789 835
Indiana University Health Medical Center Campus Controlled Insurance Program (IUHMCC)
Payer ID
J4428
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
Indiana University Health Medical Center Campus Controlled Insurance Program (IUHMCC) J4428 837P
Indiana University Health Medical Center Campus Controlled Insurance Program (IUHMCC)
Payer ID
J4428
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
View note
Hide note
View note
Hide note
Indiana University Health Medical Center Campus Controlled Insurance Program (IUHMCC) J4428 837I
Indiana University Health Medical Center Campus Controlled Insurance Program (IUHMCC)
Payer ID
J4428
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
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.
Indiana University Health Medical Center Campus Controlled Insurance Program (IUHMCC) J4428 835
Indiana University (IU) Health Plan (Commercial)
Payer ID
IUHP-COMM
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
Indiana University (IU) Health Plan (Commercial) IUHP-COMM 270 / 271
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
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
Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 837I
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
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
Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 837P
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
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
Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 835
Indiana University (IU) Health Plan (Medicare)
Payer ID
IUHP-MED
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
Indiana University (IU) Health Plan (Medicare) IUHP-MED 270 / 271
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
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
Indiana University (IU) Health Plan – Medicare Advantage 95444 835
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
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
Indiana University (IU) Health Plan – Medicare Advantage 95444 837P
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
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
Indiana University (IU) Health Plan – Medicare Advantage 95444 837I
Indian Health Services / Veteran Affairs
Payer ID
MR085
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
Indian Health Services / Veteran Affairs MR085 837P
Indian Health Services / Veteran Affairs
Payer ID
MR085
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
Indian Health Services / Veteran Affairs MR085 837I
Indian Health Services / Veteran Affairs
Payer ID
MR085
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
Indian Health Services / Veteran Affairs MR085 835
Indigenous Pact PBC, inc., DBA Guardiant Health Management LLC
Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through fee applies to this transaction.
Individual Health Insurance Companies 31059 837P
Individual Health Insurance Companies
Payer ID
31059
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
Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through fee applies to this transaction.
Individual Health Insurance Companies 31059 835
Individual Health Insurance Companies
Payer ID
31059
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
Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through fee applies to this transaction.
Individual Health Insurance Companies 31059 837I
Industrial Commissions of Arizona - Special Fund D
Payer ID
J4642
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
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.
Industrial Commissions of Arizona - Special Fund D J4642 835
Industrial Commissions of Arizona - Special Fund D
Payer ID
J4642
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
Industrial Commissions of Arizona - Special Fund D J4642 837P
iNetico Inc
Payer ID
43471
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
iNetico Inc 43471 837P
iNetico Inc
Payer ID
43471
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
iNetico Inc 43471 837I
Infineon Technologies Americas Corp
Payer ID
J2790
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
Infineon Technologies Americas Corp J2790 837P
Infineon Technologies Americas Corp
Payer ID
J2790
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
View note
Hide note
View note
Hide note
Infineon Technologies Americas Corp J2790 837I
Infineon Technologies Americas Corp
Payer ID
J2790
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
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.
Infineon Technologies Americas Corp J2790 835
Ingham Health Plan Corp.
Payer ID
38343
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
Ingham Health Plan Corp. 38343 837I
Ingham Health Plan Corp.
Payer ID
38343
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
Ingham Health Plan Corp. 38343 837P
Ingles Markets
Payer ID
J1907
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
Hide note
View note
Hide note
Ingles Markets J1907 837I
Ingles Markets
Payer ID
J1907
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
View note
Hide note
Ingles Markets J1907 835
Ingles Markets
Payer ID
J1907
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
Ingles Markets J1907 837P
Ingram Micro Inc.
Payer ID
J4515
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
Ingram Micro Inc. J4515 837P
Ingram Micro Inc.
Payer ID
J4515
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
Hide note
View note
Hide note
Ingram Micro Inc. J4515 837I
Ingram Micro Inc.
Payer ID
J4515
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
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.
Ingram Micro Inc. J4515 835
Injury Care Services
Payer ID
J3826
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
Injury Care Services J3826 837P
Injury Care Services
Payer ID
J3826
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
View note
Hide note
View note
Hide note
Injury Care Services J3826 837I
Injury Management Organization (IMO)
Payer ID
J3798
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
Injury Management Organization (IMO) J3798 837P
Injury Management Organization (IMO)
Payer ID
J3798
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
Hide note
View note
Hide note
Injury Management Organization (IMO) J3798 837I
Injury Management Organization (IMO)
Payer ID
J3798
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
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.
Injury Management Organization (IMO) J3798 835
Inland Empire Electrical Trust (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
Hide note
View note
Hide note
Inland Empire Electrical Trust (FCHN) 91131 837P
Inland Empire Electrical Trust (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
Hide note
View note
Hide note
Inland Empire Electrical Trust (FCHN) 91131 837I
Inland Empire Health Medicare
Payer ID
CMC
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
Inland Empire Health Medicare CMC 270 / 271
Inland Empire Health Plan
Payer ID
IEHP1
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
IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 837I
Inland Empire Health Plan
Payer ID
IEHP1
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
IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 835
Inland Empire Health Plan
Payer ID
IEHP1
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
IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 837P
Inland Empire health Plan (Covered California)
Payer ID
IECCA
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 completed under Inland Empire Health Plan (IEHP1)
Inland Empire health Plan (Covered California) IECCA 835
Inland Empire health Plan (Covered California)
Payer ID
IECCA
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
Inland Empire health Plan (Covered California) IECCA 837I
Inland Empire Health Plan - Covered California
Payer ID
IEHP
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
Inland Empire Health Plan - Covered California IEHP 270 / 271
Inland Empire health Plan (Covered California)
Payer ID
IECCA
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
Inland Empire health Plan (Covered California) IECCA 837P
Inland Empire Health Plan - Medi-Cal
Payer ID
MED
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
Inland Empire Health Plan - Medi-Cal MED 270 / 271
Inland Health Organization (IHO)
Payer ID
IHORG
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
For claims with DOS prior to 7/1/14. All claims with DOS after 7/1/14 should be sent to Payer ID PROH4.
