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.
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
Colorado Kaiser Permanente
Payer ID
91617
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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ERA enrollment under Kaiser Foundation Health Plan of Colorado
Colorado Kaiser Permanente 91617 835
Columbia Mutual Insurance Company
Payer ID
J2091
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.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Columbia Mutual Insurance Company J2091 837P
Columbia Sussex Corporation
Payer ID
J1039
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.
Columbia Sussex Corporation J1039 837P
Columbine Health Plan
Payer ID
CHP02
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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Columbine Health Plan CHP02 837P
ComPsych
Payer ID
37363
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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ComPsych 37363 837P
ComPsych
Payer ID
37363
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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ComPsych 37363 837I
ComPsych
Payer ID
37363
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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ComPsych 37363 835
Combined Insurance Company
Payer ID
AM-INS-COMB
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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Combined Insurance Company AM-INS-COMB 270 / 271
Commerce & Industry/Greenwood
Payer ID
J3877
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.
Commerce & Industry/Greenwood J3877 837P
Common Ground Healthcare
Payer ID
77170
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
Common Ground Healthcare 77170 837P
Common Ground Healthcare
Payer ID
77170
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
Common Ground Healthcare 77170 837I
Common Ground Healthcare
Payer ID
77170
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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Common Ground Healthcare 77170 835
Common Ground Healthcare Cooperative
Payer ID
COMMON
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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Common Ground Healthcare Cooperative COMMON 276 / 277
Common Ground Healthcare Cooperative
Payer ID
COMMON
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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Common Ground Healthcare Cooperative COMMON 270 / 271
Commonwealth Care Alliance
Payer ID
SCNCA
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
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Commonwealth Care Alliance SCNCA 837D
Commonwealth Care Alliance (CCA)
Payer ID
A2793
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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For DOS on or after 4/1/23
Commonwealth Care Alliance (CCA) A2793 837P
Commonwealth Care Alliance (CCA)
Payer ID
A2793
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
For DOS on or after 4/1/23
Commonwealth Care Alliance (CCA) A2793 837I
Commonwealth Care Alliance (CCA)
Payer ID
A2793
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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Commonwealth Care Alliance (CCA) A2793 835
Commonwealth Care Alliance (CCA)
Payer ID
CCA
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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Commonwealth Care Alliance (CCA) CCA 270 / 271
Commonwealth Care Alliance - Medicare Advantage
Payer ID
14316
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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For DOS prior to 4/1/23
Commonwealth Care Alliance - Medicare Advantage 14316 837P
Commonwealth Care Alliance - Medicare Advantage
Payer ID
14316
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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For DOS prior to 4/1/23
Commonwealth Care Alliance - Medicare Advantage 14316 837I
Commonwealth of Massachusetts GIC
Payer ID
WLPNT
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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Formerly Unicare.
Commonwealth of Massachusetts GIC WLPNT 837P
Commonwealth of Massachusetts GIC
Payer ID
WLPNT
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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Formerly Unicare.
Commonwealth of Massachusetts GIC WLPNT 837I
Commonwealth of Massachusetts GIC
Payer ID
WLPNT
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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Formerly Unicare (80314).
Commonwealth of Massachusetts GIC WLPNT 835
CommuniCare Advantage
Payer ID
34525
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
CommuniCare Advantage 34525 837P
CommuniCare Advantage
Payer ID
34525
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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CommuniCare Advantage 34525 837I
Community Care Alliance of IL
Payer ID
85468
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
For DOS prior to 1/1/2020.
Community Care Alliance of IL 85468 837P
Community Care Alliance of IL
Payer ID
85468
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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For DOS prior to 1/1/2020.
Community Care Alliance of IL 85468 837I
Community Care Alliance of Illinois
Payer ID
CCAIL
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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Community Care Alliance of Illinois CCAIL 270 / 271
Community Care Inc. - Family Care (Wisconsin) 60995 835
Community Care Managed Health Care Plans of Oklahoma
Payer ID
73143
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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Community Care Managed Health Care Plans of Oklahoma 73143 837P
Community Care Managed Health Care Plans of Oklahoma
Payer ID
73143
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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Community Care Managed Health Care Plans of Oklahoma 73143 837I
Community Care Managed Health Care Plans of Oklahoma
Payer ID
73143
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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Community Care Managed Health Care Plans of Oklahoma 73143 835
Community Care Plan (Broward Health PPUC)
Payer ID
BHPP1
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
Community Care Plan (Broward Health PPUC) BHPP1 837P
Community Care Plan (Commercial)
Payer ID
59064
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
Community Care Plan (Commercial) 59064 837P
Community Care Plan (Commercial)
Payer ID
59064
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
Community Care Plan (Commercial) 59064 837I
Community Care Plan (Commercial)
Payer ID
59064
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
Community Care Plan (Commercial) 59064 835
Community Care Plan (Florida Healthy Kids)
Payer ID
FHKC1
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
Community Care Plan (Florida Healthy Kids) FHKC1 837P
Community Care Plan (Florida Healthy Kids)
Payer ID
FHKC1
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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Community Care Plan (Florida Healthy Kids) FHKC1 837I
Community Care Plan (Medicaid)
Payer ID
59065
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
Community Care Plan (Medicaid) 59065 837P
Community Care Plan (Medicaid)
Payer ID
59065
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
Community Care Plan (Medicaid) 59065 837I
Community Care Plan (Medicaid)
Payer ID
59065
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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Community Care Plan (Medicaid) 59065 835
Community Care Plan (Palm Beach District)
Payer ID
PBHD1
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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Community Care Plan (Palm Beach District) PBHD1 837P
Community Care Plan (Palm Beach District)
Payer ID
PBHD1
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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Community Care Plan (Palm Beach District) PBHD1 837I
Community Development Commission (CA) - CORVEL
Payer ID
J1655
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.
Community Development Commission (CA) - CORVEL J1655 837P
Community Family Care Health Plan
Payer ID
CFCHP
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
Community Family Care Health Plan CFCHP 837P
Community Family Care Health Plan
Payer ID
CFCHP
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
Community Family Care Health Plan CFCHP 837I
Community Family Care Health Plan
Payer ID
CFCHP
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.
Community Family Care Health Plan CFCHP 835
Community First
Payer ID
COMMF
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
Community First COMMF 837P
Community First
Payer ID
COMMF
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
Community First COMMF 837I
Community First
Payer ID
COMMF
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Community First COMMF 270 / 271
Community Health Alliance
Payer ID
35193
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
Community Health Alliance 35193 837P
Community Health Alliance
Payer ID
35193
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
Community Health Alliance 35193 837I
Community Health Alliance
Payer ID
35193
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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Community Health Alliance 35193 835
Community Health Alliance of Tennessee
Payer ID
27905
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
Community Health Alliance of Tennessee 27905 837P
Community Health Alliance of Tennessee
Payer ID
27905
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
Community Health Alliance of Tennessee 27905 837I
Community Health Alliance of Tennessee
Payer ID
27905
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
Community Health Alliance of Tennessee 27905 835
Community Health Center Network - CHCN
Payer ID
CHCN1
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 ERA's automatically once electronic claim submission begins.
Community Health Center Network - CHCN CHCN1 837P
Community Health Center Network - CHCN
Payer ID
CHCN1
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 ERA's automatically once electronic claim submission begins.
Community Health Center Network - CHCN CHCN1 835
Community Health Choice
Payer ID
48145
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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Community Health Choice 48145 837P
Community Health Choice
Payer ID
48145
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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Community Health Choice 48145 837I
Community Health Choice
Payer ID
48145
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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Community Health Choice 48145 835
Community Health Choice
Payer ID
48145
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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Community Health Choice 48145 270 / 271
Community Health Choice - Health Insurance Marketplace
Payer ID
60495
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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Community Health Choice - Health Insurance Marketplace 60495 837P
Community Health Choice - Health Insurance Marketplace
Payer ID
60495
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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Community Health Choice - Health Insurance Marketplace 60495 837I
Community Health Choice - Health Insurance Marketplace
Payer ID
CHC-HIM
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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Community Health Choice - Health Insurance Marketplace CHC-HIM 270 / 271
Community Health First Medicare Advantage
Payer ID
CHF-MA
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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Community Health First Medicare Advantage CHF-MA 270 / 271
Community Health Group of SD (CHGSD) - Capitated Claims
Payer ID
66171
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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All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information.
Community Health Group of SD (CHGSD) - Capitated Claims 66171 837P
Community Health Group of SD (CHGSD) - Capitated Claims
Payer ID
66171
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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All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information.
Community Health Group of SD (CHGSD) - Capitated Claims 66171 837I
Community Health Group of SD (CHGSD) - Capitated Claims
Payer ID
66171
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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All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information.
Community Health Group of SD (CHGSD) - Capitated Claims 66171 835
Community Health Group of SD (CHGSD) - FFS Claims
Payer ID
66170
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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All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information. Office Ally is designated clearinghouse for Real Time Transactions.
Community Health Group of SD (CHGSD) - FFS Claims 66170 837P
Community Health Group of SD (CHGSD) - FFS Claims
Payer ID
66170
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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All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information. Office Ally is designated clearinghouse for Real Time Transactions.
Community Health Group of SD (CHGSD) - FFS Claims 66170 837I
Community Health Group of SD (CHGSD) - FFS Claims
Payer ID
66170
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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All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information. Office Ally is designated clearinghouse for Real Time Transactions.
Community Health Group of SD (CHGSD) - FFS Claims 66170 835
Community Health Group of San Diego
Payer ID
66170
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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Community Health Group of San Diego 66170 276 / 277
Community Health Group of San Diego
Payer ID
66170
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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Community Health Group of San Diego 66170 270 / 271
Community Health Plan of Washington
Payer ID
CHPWA
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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Community Health Plan of Washington CHPWA 270 / 271
Community Health Plan of Washington (CHP of WA)
Payer ID
CHPWA
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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Community Health Plan of Washington (CHP of WA) CHPWA 837P
Community Health Plan of Washington (CHP of WA)
Payer ID
CHPWA
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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Community Health Plan of Washington (CHP of WA) CHPWA 837I
Community Health Plan of Washington (CHP of WA)
Payer ID
CHPWA
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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Community Health Plan of Washington (CHP of WA) CHPWA 835
Community Life
Payer ID
23283
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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Community Life 23283 837P
Community Medical Centers (CA) - CORVEL
Payer ID
J3743
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.
Community Medical Centers (CA) - CORVEL J3743 837P
Community Medical Group of the West Valley (Regal)
Payer ID
LMG01
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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Community Medical Group of the West Valley (Regal) LMG01 837P
Community Medical Group of the West Valley (Regal)
Payer ID
LMG01
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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Community Medical Group of the West Valley (Regal) LMG01 837I
Community Preferred Healthcare (AHN - TPHS)
Payer ID
IHS28
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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Community Preferred Healthcare (AHN - TPHS) IHS28 837P
Community Preferred Healthcare (AHN - TPHS)
Payer ID
IHS28
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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Community Preferred Healthcare (AHN - TPHS) IHS28 837I