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.
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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
Prominence Health Plan
Payer ID
PROMHP
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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Prominence Health Plan PROMHP 270 / 271
Prominence Health Plan of Nevada
Payer ID
93082
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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Prominence Health Plan of Nevada 93082 837P
Prominence Health Plan of Nevada
Payer ID
93082
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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Prominence Health Plan of Nevada 93082 837I
Prominence Health Plan of Nevada
Payer ID
PROMHPNV
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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Prominence Health Plan of Nevada PROMHPNV 270 / 271
Prominence Health Plan of Texas
Payer ID
80095
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Enrollment completed under Prominence Health Plan
Prominence Health Plan of Texas 80095 835
Prominence Health Plan of Texas
Payer ID
80095
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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Prominence Health Plan of Texas 80095 837P
Prominence Health Plan of Texas
Payer ID
80095
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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Prominence Health Plan of Texas 80095 837I
Prominence Health Plan of Texas
Payer ID
PROMHPTX
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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Prominence Health Plan of Texas PROMHPTX 270 / 271
Prospect Health Services of Texas
Payer ID
PROSP
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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Prospect Health Services of Texas PROSP 837P
Prospect Health Services of Texas
Payer ID
PROSP
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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Prospect Health Services of Texas PROSP 837I
Prospect Health Services of Texas
Payer ID
PROSP
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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Prospect Health Services of Texas PROSP 835
Prospect Medical Group
Payer ID
PROSP
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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Prospect Medical Group PROSP 835
Prospect Medical Group
Payer ID
PROSP
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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Prospect Medical Group PROSP 837P
Prospect Medical Group
Payer ID
PROSP
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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Prospect Medical Group PROSP 837I
Prospect Provider Group of Rhode Island
Payer ID
PROSP
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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Prospect Provider Group of Rhode Island PROSP 835
Prospect Provider Group of Rhode Island
Payer ID
PROSP
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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Prospect Provider Group of Rhode Island PROSP 837P
Prospect Provider Group of Rhode Island
Payer ID
PROSP
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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Prospect Provider Group of Rhode Island PROSP 837I
Prospect Sherman Oaks Medical Group
Payer ID
PROSP
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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Prospect Sherman Oaks Medical Group PROSP 837P
Prospect Sherman Oaks Medical Group
Payer ID
PROSP
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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Prospect Sherman Oaks Medical Group PROSP 837I
Prospect Sherman Oaks Medical Group
Payer ID
PROSP
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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Prospect Sherman Oaks Medical Group PROSP 835
Prosperity Life
Payer ID
89486
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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Prosperity Life 89486 837I
Prosperity Life
Payer ID
89486
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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Prosperity Life 89486 837P
Protective Insurance
Payer ID
J1568
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.
Protective Insurance J1568 837P
Protective Insurance
Payer ID
J1568
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Protective Insurance J1568 837I
Protective Life Insurance
Payer ID
37309
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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Protective Life Insurance 37309 837P
Protective Life Insurance
Payer ID
37309
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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Protective Life Insurance 37309 837I
Protector 360
Payer ID
68756
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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Protector 360 68756 837P
Protector 360
Payer ID
68756
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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Protector 360 68756 837I
Providence Facility Claims
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
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Providence Facility Claims STJOE 837I
Providence Facility Claims
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
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Providence Facility Claims STJOE 835
Providence Facility Claims
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
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Providence Facility Claims STJOE 837P
Providence Health Assurance
Payer ID
77350
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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Administered by PH TECH - Effective Date: 1/1/2021
Providence Health Assurance 77350 837P
Providence Health Assurance
Payer ID
77350
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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Administered by PH TECH - Effective Date: 1/1/2021
Providence Health Assurance 77350 837I
Providence Health Assurance
Payer ID
PROV-HA
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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Providence Health Assurance PROV-HA 270 / 271
Providence Health Assurance Medicare Supplement
Payer ID
PROV-HAMS
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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Providence Health Assurance Medicare Supplement PROV-HAMS 270 / 271
Providence Health Assurance Medicare Supplement
Payer ID
77525
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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Providence Health Assurance Medicare Supplement 77525 835
Providence Health Assurance Medicare Supplement
Payer ID
77525
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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Providence Health Assurance Medicare Supplement 77525 837I
Providence Health Assurance Medicare Supplement
Payer ID
77525
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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Providence Health Assurance Medicare Supplement 77525 837P
Providence Health Assurance Medicare Supplement
Payer ID
77525
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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Providence Health Assurance Medicare Supplement 77525 837I
Providence Health Assurance Medicare Supplement
Payer ID
77525
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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Providence Health Assurance Medicare Supplement 77525 837P
Providence Health Assurance Medicare Supplement
Payer ID
77525
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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Providence Health Assurance Medicare Supplement 77525 835
Providence Health Plan
Payer ID
PHP01
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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Providence Health Plan PHP01 837I
Providence Health Plan
Payer ID
PHP01
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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Providence Health Plan PHP01 835
Providence Health Plan
Payer ID
PHP01
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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Providence Health Plan PHP01 837P
Providence Health Plan
Payer ID
PROHP
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Providence Health Plan PROHP 276 / 277
Providence Health Plan
Payer ID
PROHP
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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Providence Health Plan PROHP 270 / 271
Providence Health Plan Powered by Collective Health
Payer ID
36481
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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Providence Health Plan Powered by Collective Health 36481 835
Providence Health Plan Powered by Collective Health
Payer ID
36481
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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Providence Health Plan Powered by Collective Health 36481 837P
Providence Health Plan Powered by Collective Health
Payer ID
PROV-COL
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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Providence Health Plan Powered by Collective Health PROV-COL 270 / 271
Providence PACE CA OR & WA Elderplace
Payer ID
77250
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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Providence PACE CA OR & WA Elderplace 77250 837I
Providence PACE CA OR & WA Elderplace
Payer ID
77250
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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Providence PACE CA OR & WA Elderplace 77250 837P
Providence PACE CA OR & WA Elderplace
Payer ID
77250
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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Providence PACE CA OR & WA Elderplace 77250 837D
Providence Risk & Insurance
Payer ID
PAS01
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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Providence Risk & Insurance PAS01 837P
Providence Risk & Insurance
Payer ID
PAS01
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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Providence Risk & Insurance PAS01 837I
Providence Risk & Insurance
Payer ID
PAS01
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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Providence Risk & Insurance PAS01 835
Provident Healthsource (CIGNA)
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
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Provident Healthsource (CIGNA) 62308 837P
Provident Healthsource (CIGNA)
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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Provident Healthsource (CIGNA) 62308 837I
Provident Healthsource (CIGNA)
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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Provident Healthsource (CIGNA) 62308 837D
Provident Life & Accident
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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Provident Life & Accident 62308 837D
Provident Life & Accident
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
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Provident Life & Accident 62308 837P
Provident Life & Accident
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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Provident Life & Accident 62308 837I
Provident Life & Casualty
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
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Provident Life & Casualty 62308 837P
Provident Life & Casualty
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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Provident Life & Casualty 62308 837I
Provident Life & Casualty
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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Provident Life & Casualty 62308 837D
Provident Preferred Network
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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Provident Preferred Network 62308 837I
Provident Preferred Network
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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Provident Preferred Network 62308 837D
Provident Preferred Network
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
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Provident Preferred Network 62308 837P
Provider Direct Network (HealthSmart Preferred Care)
Payer ID
75250
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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Provider Direct Network (HealthSmart Preferred Care) 75250 837P
Provider Direct Network (HealthSmart Preferred Care)
Payer ID
75250
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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Provider Direct Network (HealthSmart Preferred Care) 75250 837I
Provider Partners Health Plan of Illinois
Payer ID
31401
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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Provider Partners Health Plan of Illinois 31401 837I
Provider Partners Health Plan of Illinois
Payer ID
31401
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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Provider Partners Health Plan of Illinois 31401 835
Provider Partners Health Plan of Illinois
Payer ID
31401
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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Provider Partners Health Plan of Illinois 31401 837P
Provider Partners Health Plan of Indiana
Payer ID
31407
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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Provider Partners Health Plan of Indiana 31407 837I
Provider Partners Health Plan of Indiana
Payer ID
31407
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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Provider Partners Health Plan of Indiana 31407 837P
Provider Partners Health Plan of Indiana
Payer ID
31407
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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Provider Partners Health Plan of Indiana 31407 835
Provider Partners Health Plan of Maryland
Payer ID
31118
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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Provider Partners Health Plan of Maryland 31118 837P
Provider Partners Health Plan of Maryland
Payer ID
31118
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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Provider Partners Health Plan of Maryland 31118 835
Provider Partners Health Plan of Maryland
Payer ID
31118
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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Provider Partners Health Plan of Maryland 31118 837I
Provider Partners Health Plan of Missouri
Payer ID
31404
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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Provider Partners Health Plan of Missouri 31404 835
Provider Partners Health Plan of Missouri
Payer ID
31404
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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Provider Partners Health Plan of Missouri 31404 837P
Provider Partners Health Plan of Missouri
Payer ID
31404
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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Provider Partners Health Plan of Missouri 31404 837I
Provider Partners Health Plan of North Carolina
Payer ID
31406
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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Provider Partners Health Plan of North Carolina 31406 835
Provider Partners Health Plan of North Carolina
Payer ID
31406
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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Provider Partners Health Plan of North Carolina 31406 837I
Provider Partners Health Plan of North Carolina
Payer ID
31406
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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Provider Partners Health Plan of North Carolina 31406 837P
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
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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Provider Partners Health Plan of Pennsylvania 31400 837P
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
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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Provider Partners Health Plan of Pennsylvania 31400 837I
Provider Partners Health Plan of Pennsylvania
Payer ID
31400
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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Provider Partners Health Plan of Pennsylvania 31400 835
Provider Partners Health Plan of Texas
Payer ID
31405
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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Provider Partners Health Plan of Texas 31405 837P
Provider Partners Health Plan of Texas
Payer ID
31405
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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Provider Partners Health Plan of Texas 31405 837I
Provider Partners Health Plan of Texas
Payer ID
31405
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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Provider Partners Health Plan of Texas 31405 835
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
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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Provider Partners Missouri Community Plan (HMO I-SNP) 31404 835
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
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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Provider Partners Missouri Community Plan (HMO I-SNP) 31404 837P
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
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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Provider Partners Missouri Community Plan (HMO I-SNP) 31404 837I
Provider Partners North Carolina Community Plan
Payer ID
31406
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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Provider Partners North Carolina Community Plan 31406 837P
Provider Partners North Carolina Community Plan
Payer ID
31406
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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Provider Partners North Carolina Community Plan 31406 837I
Provider Partners North Carolina Community Plan
Payer ID
31406
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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Provider Partners North Carolina Community Plan 31406 835
