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
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
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St. Mary High Desert STJOE 837P
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
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St. Mary High Desert STJOE 837I
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
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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
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Effective 9/1/22
St. Mary Medical Center HSM01 837I
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
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ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 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
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 835
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
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ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 837I
Stone Trust
Payer ID
J2213
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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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Stone Trust J2213 837P
St Pauls PACE
Payer ID
SPPCA
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 Pauls PACE SPPCA 837P
St Pauls PACE
Payer ID
SPPCA
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 Pauls PACE SPPCA 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
View note
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St. Peter Medical Group, Inc. HSM01 837P
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
View note
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St. Peter Medical Group, Inc. HSM01 837I
Strategic Comp Claims
Payer ID
J3972
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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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Strategic Comp Claims J3972 837P
Streamline Imaging
Payer ID
J4481
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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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
EFT enrollment is required in order to activate ERAs.
Student Resources (UnitedHealthcare) 74227 835
Student Resources (UnitedHealthcare)
Payer ID
74227
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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Student Resources (UnitedHealthcare) 74227 837P
Student Resources (UnitedHealthcare)
Payer ID
74227
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
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Student Resources (UnitedHealthcare) 74227 837I
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
View note
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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
View note
Hide note
View note
Hide note
Form can be found under "Physicians Data Trust".
St. Vincent IPA PDT01 835
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
View note
Hide note
View note
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Form can be found under "Physicians Data Trust".
St. Vincent IPA PDT01 837P
Style Crest Enterprise
Payer ID
J3880
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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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.
Style Crest Enterprise J3880 837P
Sulphur Bluff ISD
Payer ID
J3952
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.
Sulphur Bluff ISD J3952 837P
Summacare Health Plan (HMO)
Payer ID
95202
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
Summacare Health Plan (HMO) 95202 837P
Summacare Health Plan (HMO)
Payer ID
95202
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
Summacare Health Plan (HMO) 95202 837I
Summacare Health Plan (HMO)
Payer ID
95202
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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Summacare Health Plan (HMO) 95202 835
Summacare Health Plan (HMO)
Payer ID
SUMMA
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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Summacare Health Plan (HMO) SUMMA 270 / 271
Summit Administration Services, Inc.
Payer ID
86083
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
Summit Administration Services, Inc. 86083 835
Summit Administration Services, Inc.
Payer ID
86083
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
Summit Administration Services, Inc. 86083 837P
Summit Administration Services, Inc.
Payer ID
86083
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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Summit Administration Services, Inc. 86083 837I
Summit Community Care
Payer ID
PASSE
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
Summit Community Care PASSE 837P
Summit Community Care
Payer ID
PASSE
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
Summit Community Care PASSE 837I
Summit Community Care
Payer ID
PASSE
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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Summit Community Care PASSE 835
Summit Community Care
Payer ID
SUMMIT-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
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Summit Community Care SUMMIT-COMM 270 / 271
Summit Community Care
Payer ID
SUMMIT-COMM
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
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Summit Community Care SUMMIT-COMM 276 / 277
Summit Holdings
Payer ID
J1437
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. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.
Summit Holdings J1437 837P
Sunflower State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Sunflower State (Centene) 68069 837P
Sunflower State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Sunflower State (Centene) 68069 837I
Sunflower State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
Sunflower State (Centene) 68069 835
Sunflower State (Centene)
Payer ID
SUNFLOWER
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
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View note
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Sunflower State (Centene) SUNFLOWER 276 / 277
Sunflower State (Centene)
Payer ID
SUNFLOWER
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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Sunflower State (Centene) SUNFLOWER 270 / 271
Sun Life Financial (United Concordia)
Payer ID
89070
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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Sun Life Financial (United Concordia) 89070 835
Sun Life Financial (United Concordia)
Payer ID
89070
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Sun Life Financial (United Concordia) 89070 837D
Sun Mar Healthcare - CORVEL
Payer ID
J1610
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.
Sun Mar Healthcare - CORVEL J1610 837P
Sunshine State Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Sunshine State Health Plan (Centene) 68069 837P
Sunshine State Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Sunshine State Health Plan (Centene) 68069 837I
Sunshine State Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
Sunshine State Health Plan (Centene) 68069 835
Sunshine State Health Plan (Centene)
Payer ID
SUNSHINE
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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Sunshine State Health Plan (Centene) SUNSHINE 270 / 271
Sunshine State Health Plan (Centene)
Payer ID
SUNSHINE
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
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View note
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Sunshine State Health Plan (Centene) SUNSHINE 276 / 277
Superior Choice Medical Group
Payer ID
SCPR1
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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Effective for DOS 1/1/2020.
Superior Choice Medical Group SCPR1 835
Superior Choice Medical Group
Payer ID
SCPR1
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 for DOS 1/1/2020.
Superior Choice Medical Group SCPR1 837P
Superior Choice Medical Group
Payer ID
SCPR1
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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Effective for DOS 1/1/2020.
Superior Choice Medical Group SCPR1 837I
Superior Dental Care
Payer ID
31117
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Superior Dental Care 31117 837D
Superior Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Superior Health Plan (Centene) 68069 837P
Superior Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Superior Health Plan (Centene) 68069 837I
Superior Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
Superior Health Plan (Centene) 68069 835
Superior Health Plan (Centene)
Payer ID
SUPERIOR
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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Superior Health Plan (Centene) SUPERIOR 270 / 271
Superior Health Plan (Centene)
Payer ID
SUPERIOR
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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Superior Health Plan (Centene) SUPERIOR 276 / 277
Superior Insurance Services
Payer ID
97802
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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Superior Insurance Services 97802 837P
Superior Insurance Services
Payer ID
97802
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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Superior Insurance Services 97802 837I
Superior Point
Payer ID
J1553
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. Covers all states except CA.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Superior Point J1553 837P
Superior Vision Services
Payer ID
13305
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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Superior Vision Services 13305 837P
SureGo Administrative Services LLC
Payer ID
89207
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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SureGo Administrative Services LLC 89207 837I
SureGo Administrative Services LLC
Payer ID
89207
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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SureGo Administrative Services LLC 89207 837P
Surest Health Plan
Payer ID
25463
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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formerly known as Bind
Surest Health Plan 25463 835
Surest Health Plan
Payer ID
25463
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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formerly known as Bind
Surest Health Plan 25463 837I
Surest Health Plan
Payer ID
25463
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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formerly known as Bind
Surest Health Plan 25463 837P
Surest Health Plan
Payer ID
SUREST-HP
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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Surest Health Plan SUREST-HP 276 / 277
Surest Health Plan
Payer ID
SUREST-HP
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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Surest Health Plan SUREST-HP 270 / 271
Surgery One IPA
Payer ID
SOIPA
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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Surgery One IPA SOIPA 837P
S. USA Life Medicare Supplement
Payer ID
95721
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA only payer - IAS Admin Payer. Enrollment is completed under Prosperity Life Group.
S. USA Life Medicare Supplement 95721 835
Sussex Insurance Company
Payer ID
J1829
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.
Sussex Insurance Company J1829 837P
Sutter and Aetna Insurance Company
Payer ID
SUTT-AETNA
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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Sutter and Aetna Insurance Company SUTT-AETNA 270 / 271
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
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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Sutter Connect - East Bay Region Hospitals - B&T SC051 837P
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
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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Sutter Connect - East Bay Region Hospitals - B&T SC051 837I
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
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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Sutter Connect - East Bay Region Hospitals - B&T SC051 835
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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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Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 835
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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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Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 837P
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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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Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 837I
Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
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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Sutter Connect - Palo Alto Medical Foundation SC050 835
Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
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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Sutter Connect - Palo Alto Medical Foundation SC050 837P
Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
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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Sutter Connect - Palo Alto Medical Foundation SC050 837I
Sutter Connect - Solano Regional Medical Foundation (SRMF)
Payer ID
SC016
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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Claims/Encounters
Sutter Connect - Solano Regional Medical Foundation (SRMF) SC016 837P
Sutter Connect - Sutter Delta Medical Group
Payer ID
SC018
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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Sutter Connect - Sutter Delta Medical Group SC018 837P
Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
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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Claims/Encounters
Sutter Connect - Sutter Gould Medical Foundation (SGMF) SC003 835
Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
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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Claims/Encounters
Sutter Connect - Sutter Gould Medical Foundation (SGMF) SC003 837P
Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
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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Claims/Encounters
Sutter Connect - Sutter Gould Medical Foundation (SGMF) SC003 837I
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
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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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 835
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
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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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 837P
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
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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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 837I
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
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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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 837P
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
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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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 837I
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
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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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 835
