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
SCCIPA Anthem PPO
Payer ID
SCACO
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
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SCCIPA Anthem PPO SCACO 835
SCCIPA Anthem PPO
Payer ID
SCACO
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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SCCIPA Anthem PPO SCACO 837P
SCCIPA HMO
Payer ID
10378
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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SCCIPA HMO 10378 837P
SCCIPA VHP Covered California
Payer ID
VHPCA
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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Effective 10/1/2022.
SCCIPA VHP Covered California VHPCA 835
SCCIPA VHP Covered California
Payer ID
VHPCA
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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Effective 10/1/2022.
SCCIPA VHP Covered California VHPCA 837P
Schaller Anderson Maryland Physicians Care
Payer ID
MD-PHYSICIANS-CARE-SA
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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Schaller Anderson Maryland Physicians Care MD-PHYSICIANS-CARE-SA 270 / 271
Schaller Anderson Mercy Care Plan
Payer ID
SAMCP
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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Schaller Anderson Mercy Care Plan SAMCP 270 / 271
SCHS ALTA Global Care Medical Group
Payer ID
MPM54
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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SCHS ALTA Global Care Medical Group MPM54 837P
SCHS ALTA Global Care Medical Group
Payer ID
MPM54
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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SCHS ALTA Global Care Medical Group MPM54 837I
SCHS Alta Pod by MedPOINT - Health Net
Payer ID
MPM20
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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SCHS Alta Pod by MedPOINT - Health Net MPM20 837I
SCHS Alta Pod by MedPOINT - Health Net
Payer ID
MPM20
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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SCHS Alta Pod by MedPOINT - Health Net MPM20 837P
SCIF (State Compensation Insurance Fund)
Payer ID
35076
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.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
ERA Enrollment is under 'Baylor Scott and White Health Care Plan'
Scott & White Health Care Plan 88030 835
Scott & White Health Care Plan
Payer ID
88030
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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Scott & White Health Care Plan 88030 837P
Scott & White Health Care Plan
Payer ID
88030
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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Scott & White Health Care Plan 88030 837I
Scottsdale Insurance Co E&S
Payer ID
C1079
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
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Covers MN and NJ only. Auto only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Scottsdale Insurance Co E&S C1079 837P
Screen Actors Guild (SAG AFTRA)
Payer ID
BC001
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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Screen Actors Guild (SAG AFTRA) BC001 837P
Screen Actors Guild (SAG AFTRA)
Payer ID
BC001
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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Screen Actors Guild (SAG AFTRA) BC001 837I
Scripps Clinic
Payer ID
SHPS1
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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Scripps Clinic SHPS1 837P
Scripps Clinic
Payer ID
SHPS1
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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Scripps Clinic SHPS1 837I
Scripps Clinic
Payer ID
SHPS1
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
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Scripps Clinic SHPS1 835
Scripps Coastal Medical Center
Payer ID
SHPS1
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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View note
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Scripps Coastal Medical Center SHPS1 837P
Scripps Coastal Medical Center
Payer ID
SHPS1
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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Scripps Coastal Medical Center SHPS1 837I
Scripps Coastal Medical Center
Payer ID
SHPS1
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
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Scripps Coastal Medical Center SHPS1 835
Scripps Health Plan MSO
Payer ID
SHPM1
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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Scripps Health Plan MSO SHPM1 837I
Scripps Health Plan MSO
Payer ID
SHPM1
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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Scripps Health Plan MSO SHPM1 837P
Scripps Health Plan MSO
Payer ID
SHPM1
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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Scripps Health Plan MSO SHPM1 835
Scripps Health Plan Services
Payer ID
SHPS1
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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Scripps Health Plan Services SHPS1 837P
Scripps Health Plan Services
Payer ID
SHPS1
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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Scripps Health Plan Services SHPS1 837I
Scripps Health Plan Services
Payer ID
SHPS1
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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Scripps Health Plan Services SHPS1 835
Scripps Medical Plan (Aetna)
Payer ID
60054
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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Scripps Medical Plan (Aetna) 60054 837P
Scripps Medical Plan (Aetna)
Payer ID
60054
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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Scripps Medical Plan (Aetna) 60054 837D
Scripps Medical Plan (Aetna)
Payer ID
60054
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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Scripps Medical Plan (Aetna) 60054 837I
Scripps Medical Plan (Aetna)
Payer ID
60054
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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Scripps Medical Plan (Aetna) 60054 835
Scripps Physicians Medical Group
Payer ID
SCP01
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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Scripps Physicians Medical Group SCP01 837P
Scripps Physicians Medical Group
Payer ID
SCP01
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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Scripps Physicians Medical Group SCP01 837I
Seabright (SBIC)
Payer ID
J1499
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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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.
Seabright (SBIC) J1499 837P
Seattle Area Plumbing
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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Seattle Area Plumbing 91131 837P
Seattle Area Plumbing
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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Seattle Area Plumbing 91131 837I
Seaview IPA
Payer ID
SVIPA
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 will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Seaview IPA SVIPA 837P
Seaview IPA
Payer ID
SVIPA
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 will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Seaview IPA SVIPA 837I
Seaview IPA
Payer ID
SVIPA
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 will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Seaview IPA SVIPA 835
SECURA Insurance A Mutual Company
Payer ID
J1379
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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View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
SECURA Insurance A Mutual Company J1379 837P
Secure Health
Payer ID
42561
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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For DOS 1/1/2021 thru 12/31/22.
Claims with DOS 1/1/23 and after, use payer ID 56162.
Secure Health 42561 837P
Secure Health
Payer ID
42561
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
For DOS 1/1/2021 thru 12/31/22.
Claims with DOS 1/1/23 and after, use payer ID 56162.
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Select Benefits Administrators of America 37282 837P
Select Benefits Administrators of America
Payer ID
37282
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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Select Benefits Administrators of America 37282 837I
Select Choice (Aetna Health Plan of NY/NJ)
Payer ID
SELECT-CHOICE
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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Select Choice (Aetna Health Plan of NY/NJ) SELECT-CHOICE 270 / 271
Select Energy Services - CORVEL
Payer ID
J1937
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
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View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Select Energy Services - CORVEL J1937 837P
Select Health of South Carolina
Payer ID
23285
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
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Select Health of South Carolina 23285 835
Select Health of South Carolina
Payer ID
23285
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
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Select Health of South Carolina 23285 837P
Select Health of South Carolina
Payer ID
23285
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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Select Health of South Carolina 23285 837I
Select Health of Utah
Payer ID
13161
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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Select Health of Utah 13161 270 / 271
Select Health of Utah
Payer ID
SX107
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 fee applies to this transaction.
Select Health of Utah SX107 837P
Select Health of Utah
Payer ID
SX107
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
A UHIN pass through fee applies to this transaction.
Select Health of Utah SX107 837I
Select Health of Utah
Payer ID
SX107
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
A UHIN pass through fee applies to this transaction.
Select Health of Utah SX107 835
Select Healthcare System, Inc.
Payer ID
SHIPA
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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Select Healthcare System, Inc. SHIPA 837I
Select Healthcare System, Inc.
Payer ID
SHIPA
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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View note
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Select Healthcare System, Inc. SHIPA 837P
Select Health of South Carolina
Payer ID
SHSC
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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View note
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Select Health of South Carolina SHSC 270 / 271
Select Senior Clinic
Payer ID
SLCT-SENIOR
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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Select Senior Clinic SLCT-SENIOR 270 / 271
SelectCare of Texas (HPN - Heritage Physicians)
Payer ID
76045
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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claims are to be submitted to Wellcare payer id 14163 and EFT/ERA for Wellcare is available through Payspan under payer ID 14163.
SelectCare of Texas (HPN - Heritage Physicians) 76045 835
SelectCare Texas Beaumont
Payer ID
SLCTCRE-BEAU
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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SelectCare Texas Beaumont SLCTCRE-BEAU 270 / 271
Selective
Payer ID
12572
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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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.
Selective 12572 837P
Selective Insurance
Payer ID
C1077
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
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Auto only. Covers only MN and NJ.
At this time, only Professional (HCFA) claims are accepted.
Selective Insurance C1077 837P
Self Insured Fund For FL Florists And Nurseries
Payer ID
J1417
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.
Self Insured Fund For FL Florists And Nurseries J1417 837P
Self Insured Fund – MA
Payer ID
J1417
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
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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.
Self Insured Fund – MA J1417 837P
Self Insured Plans
Payer ID
36404
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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Naples, FL.
Self Insured Plans 36404 837P
Self Insured Plans
Payer ID
36404
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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Naples, FL.
Self Insured Plans 36404 835
Self Insured Services Company (SISCO)
Payer ID
44827
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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Self Insured Services Company (SISCO) 44827 837P
Self Insured Services Company (SISCO)
Payer ID
44827
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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Self Insured Services Company (SISCO) 44827 837I
Self Insured Services Company (SISCO)
Payer ID
SISCO
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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Self Insured Services Company (SISCO) SISCO 270 / 271
Self Insured Services Company (SISCO)
Payer ID
44827
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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Self Insured Services Company (SISCO) 44827 835
Self-Funded Plans, Inc.
Payer ID
34131
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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Self-Funded Plans, Inc. 34131 837P
Self-Funded Plans, Inc.
Payer ID
34131
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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Self-Funded Plans, Inc. 34131 837I
Self-Insured Schools of California (SISC)
Payer ID
J1520
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.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Self-Insured Schools of California (SISC) J1520 837P
Selman and Company
Payer ID
52214
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 claims with DOS 1/1/19 to present.
Selman and Company 52214 837P
Selman and Company
Payer ID
52214
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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For claims with DOS 1/1/19 to present.
Selman and Company 52214 837I
Selman and Company
Payer ID
SELMAN
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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For claims with DOS 1/1/19 to present.
Selman and Company SELMAN 270 / 271
Sendero IdealCare
Payer ID
11440
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 IdealCare claims with DOS on/after January 1st 2017 - December 31st 2018.
Sendero IdealCare 11440 837P
Sendero IdealCare
Payer ID
11440
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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For IdealCare claims with DOS on/after January 1st 2017 - December 31st 2018.
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