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
Southern California Dairy
Payer ID
BPA01
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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Southern California Dairy BPA01 837P
Southern California Healthcare System (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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Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net MPM20 837P
Southern California Healthcare System (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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Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net MPM20 837I
Southern California Lumber
Payer ID
BPA01
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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Southern California Lumber BPA01 837P
Southern California Oncology Associates (SCOA)
Payer ID
SCOA1
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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Southern California Oncology Associates (SCOA) SCOA1 837P
Southern California Oncology Associates (SCOA) - Encounters
Payer ID
SCOAE
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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Encounters only.
Southern California Oncology Associates (SCOA) - Encounters SCOAE 837P
Southern California Physicians Managed Care Services (SCPMCS)
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
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Southern California Physicians Managed Care Services (SCPMCS) SCP01 837P
Southern California Physicians Managed Care Services (SCPMCS)
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
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Southern California Physicians Managed Care Services (SCPMCS) SCP01 837I
Southern California UFCW Unions & Food Employers
Payer ID
SCUFW
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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Southern California, Cypress
Southern California UFCW Unions & Food Employers SCUFW 837P
Southern Illinois Healthcare Association
Payer ID
SIH99
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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Southern Illinois Healthcare Association SIH99 837P
Southern Mutual Insurance Company
Payer ID
J3876
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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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Southern Mutual Insurance Company J3876 837P
Southern Textile Recycling, Inc. (CA) - CORVEL
Payer ID
J1648
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
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Southern Textile Recycling, Inc. (CA) - CORVEL J1648 837P
Southland Advantage Medical Group, Inc.
Payer ID
HSM01
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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Southland Advantage Medical Group, Inc. HSM01 837P
Southland Advantage Medical Group, Inc.
Payer ID
HSM01
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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Southland Advantage Medical Group, Inc. HSM01 837I
Southland San Gabriel Valley Medical Group, Inc. PHM11 837P
Southwest Health Plan (Aetna HMO)
Payer ID
SOUTHWEST
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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Southwest Health Plan (Aetna HMO) SOUTHWEST 270 / 271
Southwest Key - CORVEL
Payer ID
J3745
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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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.
Southwest Key - CORVEL J3745 837P
Southwest MI Behavioral Health - Mental Health
Payer ID
A3268
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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Southwest MI Behavioral Health - Mental Health A3268 837I
Southwest MI Behavioral Health - Mental Health
Payer ID
A3268
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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Southwest MI Behavioral Health - Mental Health A3268 837P
Southwest MI Behavioral Health Substance Use Disorder
Payer ID
A4585
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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Southwest MI Behavioral Health Substance Use Disorder A4585 837P
Southwest MI Behavioral Health Substance Use Disorder
Payer ID
A4585
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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Southwest MI Behavioral Health Substance Use Disorder A4585 837I
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
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
Payer returns ERAs automatically once electronic claim submission begins.
Southwest Oregon IPA (DOCS) DOCSO 837P
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
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
Payer returns ERAs automatically once electronic claim submission begins.
Southwest Oregon IPA (DOCS) DOCSO 837I
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
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 once electronic claim submission begins.
Southwest Oregon IPA (DOCS) DOCSO 835
Southwest Service Administrators
Payer ID
CX100
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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Southwest Service Administrators CX100 837P
Southwest Service Administrators
Payer ID
CX100
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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Southwest Service Administrators CX100 837I
Southwest Service Life
Payer ID
37266
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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Southwest Service Life 37266 837P
Southwest Service Life
Payer ID
37266
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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Southwest Service Life 37266 837I
Space Exploration Technologies Corp - CORVEL
Payer ID
J1990
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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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.
Space Exploration Technologies Corp - CORVEL J1990 837P
Special Agents Mutual Benefit Association
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
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Special Agents Mutual Benefit Association 62308 837P
Special Agents Mutual Benefit Association
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
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Hide note
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Special Agents Mutual Benefit Association 62308 837I
Special Agents Mutual Benefit Association
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
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Special Agents Mutual Benefit Association 62308 837D
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Sprouts Farmers Market, Inc. - CORVEL J1850 837P
Spruce Grove Inc - CORVEL
Payer ID
J3749
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.
Spruce Grove Inc - CORVEL J3749 837P
St Lukes Health Plan Inc
Payer ID
92170
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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Effective 1/1/2025
St Lukes Health Plan Inc 92170 837I
St Lukes Health Plan Inc
Payer ID
92170
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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Effective 1/1/2025
St Lukes Health Plan Inc 92170 837P
St Mary's IPA
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
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View note
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ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 835
St Mary's IPA
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
ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 837P
St Mary's IPA
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
ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 837I
St Pauls PACE
Payer ID
27034
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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St Pauls PACE 27034 837I
St Pauls PACE
Payer ID
27034
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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St Pauls PACE 27034 837P
St. Francis IPA
Payer ID
APP01
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
St. Francis IPA APP01 837I
St. Francis IPA
Payer ID
APP01
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
St. Francis IPA APP01 837P
St. Francis IPA
Payer ID
APP01
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
Please use the enrollment form located under Optum Care Network.
St. Francis IPA APP01 835
St. John's Claim Administration
Payer ID
37264
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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St. John's Claim Administration 37264 837P
St. John's Claim Administration
Payer ID
37264
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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St. John's Claim Administration 37264 837I
St. 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
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To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (818) 837-5686.
St. Johns Health Clinic SJHC1 837P
St. 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 (818) 837-5686.
St. Johns Health Clinic SJHC1 837I
St. 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.
St. Johns Health Clinic SJHC1 835
St. Joseph Heritage Healthcare
Payer ID
STJOE
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
ERA enrollment is automatic.
St. Joseph Heritage Healthcare STJOE 837P
St. Joseph Heritage Healthcare
Payer ID
STJOE
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.
St. Joseph Heritage Healthcare STJOE 835
St. Joseph Heritage Healthcare
Payer ID
STJOE
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
ERA enrollment is automatic.
St. Joseph Heritage Healthcare STJOE 837I
St. Joseph Heritage Medical Group
Payer ID
STJOE
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
ERA enrollment is automatic.
St. Joseph Heritage Medical Group STJOE 837P
St. Joseph Heritage Medical Group
Payer ID
STJOE
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
ERA enrollment is automatic.
St. Joseph Heritage Medical Group STJOE 837I
St. Joseph Heritage Medical Group
Payer ID
STJOE
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.
St. Joseph Heritage Medical Group STJOE 835
St. Joseph Hospital Affiliated
Payer ID
STJOE
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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St. Joseph Hospital Affiliated STJOE 837P
St. Joseph Hospital Affiliated
Payer ID
STJOE
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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St. Joseph Hospital Affiliated STJOE 837I
St. Jude Affiliated Physicians
Payer ID
STJOE
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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St. Jude Affiliated Physicians STJOE 837P
St. Jude Affiliated Physicians
Payer ID
STJOE
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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St. Jude Affiliated Physicians STJOE 837I
St. Jude Heritage Medical Group
Payer ID
STJOE
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
St. Jude Heritage Medical Group STJOE 837P
St. Jude Heritage Medical Group
Payer ID
STJOE
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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St. Jude Heritage Medical Group STJOE 837I
St. Luke's Health Plan
Payer ID
STLHP
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
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St. Luke's Health Plan STLHP 276 / 277
St. Luke's Health Plan
Payer ID
STLHP
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
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St. Luke's Health Plan STLHP 270 / 271
St. Mary High Desert
Payer ID
STJOE
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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St. Mary High Desert STJOE 837I
St. Mary High Desert
Payer ID
STJOE
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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St. Mary High Desert STJOE 837P
St. Mary Medical Center
Payer ID
HSM01
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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Effective 9/1/22
St. Mary Medical Center HSM01 837P
St. Mary Medical Center
Payer ID
HSM01
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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Effective 9/1/22
St. Mary Medical Center HSM01 837I
St. Peter Medical Group, Inc.
Payer ID
HSM01
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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St. Peter Medical Group, Inc. HSM01 837I
St. Peter Medical Group, Inc.
Payer ID
HSM01
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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St. Peter Medical Group, Inc. HSM01 837P
St. Therese Physician Associates
Payer ID
37116
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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St. Therese Physician Associates 37116 837P
St. Therese Physician Associates
Payer ID
37116
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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St. Therese Physician Associates 37116 837I
St. Vincent IPA
Payer ID
PDT01
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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Form can be found under "Physicians Data Trust".
St. Vincent IPA PDT01 837P
St. Vincent IPA
Payer ID
PDT01
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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Form can be found under "Physicians Data Trust".
St. Vincent IPA PDT01 837I
St. Vincent IPA
Payer ID
PDT01
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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Form can be found under "Physicians Data Trust".
St. Vincent IPA PDT01 835
Standard Insurance
Payer ID
93024
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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Standard Insurance 93024 837D
Standard Insurance
Payer ID
STAND-INS
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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Dental Only
Standard Insurance STAND-INS 270 / 271
Standard Insurance Co. of New York
Payer ID
89009
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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Standard Insurance Co. of New York 89009 837D
Standard Life & Accident Insurance Company
Payer ID
73099
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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Standard Life & Accident Insurance Company 73099 837P
Standard Life & Accident Insurance Company
Payer ID
73099
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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Standard Life & Accident Insurance Company 73099 837I
Standard Life & Accident Insurance Company
Payer ID
SLAIC
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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Standard Life & Accident Insurance Company SLAIC 270 / 271
Standard Life & Accident Insurance Company
Payer ID
01758
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 only payer - IAS Admin Payer.
Standard Life & Accident Insurance Company 01758 835
StandardHealth with Health Choice (HCS)
Payer ID
RP105
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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StandardHealth with Health Choice (HCS) RP105 837P
StandardHealth with Health Choice (HCS)
Payer ID
RP105
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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StandardHealth with Health Choice (HCS) RP105 837I
Stanley Steemer International Inc - CORVEL
Payer ID
J1939
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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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Stanley Steemer International Inc - CORVEL J1939 837P
Stanley Works, Inc.
Payer ID
J1385
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.
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