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
WC / Auto
NOTES
County Of San Diego
Payer ID
J1513
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
County Of San Diego J1513 837P
County of Chesterfield, VA
Payer ID
J1525
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
County of Chesterfield, VA J1525 837P
County of Fresno
Payer ID
AMM21
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Effective 7/1/18
County of Fresno AMM21 837P
County of Fresno
Payer ID
AMM21
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Effective 7/1/18
County of Fresno AMM21 837I
County of Kern - CORVEL
Payer ID
J1935
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
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Workers Comp and Auto.
County of Kern - CORVEL J1935 837P
County of Kern POS
Payer ID
22149
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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For Dates of Service (DOS) 12/31/2015 and PRIOR. For DOS on/after 1/1/2016, the claims should be directed to Anthem Blue Cross (California).
County of Kern POS 22149 837P
County of Kern POS
Payer ID
22149
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For Dates of Service (DOS) 12/31/2015 and PRIOR. For DOS on/after 1/1/2016, the claims should be directed to Anthem Blue Cross (California).
County of Kern POS 22149 837I
County of Los Angeles (1000)
Payer ID
J1625
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
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Workers Comp and Auto. For claim numbers that start with '1000'. At this time, only Professional (HCFA) claims are accepted.
County of Los Angeles (1000) J1625 837P
County of Los Angeles (2000)
Payer ID
J1722
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. For claim numbers that start with '2000'. At this time, only Professional (HCFA) claims are accepted.
County of Los Angeles (2000) J1722 837P
County of Los Angeles (3000)
Payer ID
J1967
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. For claim numbers that start with '3000'. At this time, only Professional (HCFA) claims are accepted.
County of Los Angeles (3000) J1967 837P
County of Los Angeles (4000/5000)
Payer ID
J1723
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. For claim numbers that start with '4000' or '5000'. At this time, only Professional (HCFA) claims are accepted.
County of Los Angeles (4000/5000) J1723 837P
County of Sacramento - EMSF
Payer ID
AMM20
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Effective 6/1/18
County of Sacramento - EMSF AMM20 837P
County of Sacramento - EMSF
Payer ID
AMM20
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Effective 6/1/18
County of Sacramento - EMSF AMM20 837I
County of Sacramento - Healthy Partners
Payer ID
MBA01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Payer returns ERA's automatically once electronic claim submission begins.
County of Sacramento - Healthy Partners MBA01 837P
County of Sacramento - Healthy Partners
Payer ID
MBA01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
County of Sacramento - Healthy Partners MBA01 837I
County of Shasta (CA)
Payer ID
J1616
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
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Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
County of Shasta (CA) J1616 837P
County of Tulare (CA) - CORVEL
Payer ID
J1666
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
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View note
Hide note
Workers Comp and Auto.
County of Tulare (CA) - CORVEL J1666 837P
Covenant Administrators Inc.
Payer ID
58102
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Atlanta, GA.
Covenant Administrators Inc. 58102 837P
Covenant Administrators Inc.
Payer ID
58102
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Atlanta, GA.
Covenant Administrators Inc. 58102 837I
Covenant Administrators Inc.
Payer ID
58102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Atlanta, GA.
Covenant Administrators Inc. 58102 835
Covenant Administrators Inc.
Payer ID
COV-ADMIN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Covenant Administrators Inc. COV-ADMIN 270 / 271
Covenant Management System Employee Benefit Plan
Payer ID
CMSEB
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Covenant Management System Employee Benefit Plan CMSEB 837P
Covenant Management System Employee Benefit Plan
Payer ID
CMSEB
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Covenant Management System Employee Benefit Plan CMSEB 837I
Covenant Management Systems
Payer ID
12T60
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Covenant Management Systems 12T60 837I
Coventry Health Care Carelink Medicaid
Payer ID
00182
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry Health Care Carelink Medicaid 00182 276 / 277
Coventry Health Care Carelink Medicaid
Payer ID
00182
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry Health Care Carelink Medicaid 00182 270 / 271
Coventry Health Care USA (HCUSA)
Payer ID
00186
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Coventry Health Care USA (HCUSA) 00186 270 / 271
Coventry Health Care of MO, MS, AK, TN(00184)
Payer ID
10205
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry Health Care of MO, MS, AK, TN(00184) 10205 270 / 271
Coventry Health Care of Georgia
Payer ID
00154
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry Health Care of Georgia 00154 276 / 277
Coventry Health Care of Georgia
Payer ID
10190
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry Health Care of Georgia 10190 270 / 271
Coventry Health Care of Louisiana
Payer ID
10150
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry Health Care of Louisiana 10150 270 / 271
Coventry National/University of MO(00250)
Payer ID
10196
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry National/University of MO(00250) 10196 270 / 271
Coventry National/University of MO(COVON)
Payer ID
COVON
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry National/University of MO(COVON) COVON 276 / 277
Coventry National/University of MO(COVON)
Payer ID
13129
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry National/University of MO(COVON) 13129 270 / 271
Coventry Wellpath Select
Payer ID
10153
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Coventry Wellpath Select 10153 270 / 271
CoventryCares of West Virginia
Payer ID
SCNCC
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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CoventryCares of West Virginia SCNCC 837D
Coworx Staffing, LLC
Payer ID
J1046
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
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.
Coworx Staffing, LLC J1046 837P
Cox Health Plan
Payer ID
00019
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Cox Health Plan 00019 837P
Cox Health Plan
Payer ID
00019
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Cox Health Plan 00019 837I
Cox Health Plan
Payer ID
00019
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Cox Health Plan 00019 835
Cox Health Plan
Payer ID
COX-HP
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Cox Health Plan COX-HP 270 / 271
Craftworks Holdings - CORVEL
Payer ID
J3862
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp only.
Craftworks Holdings - CORVEL J3862 837P
Create Healthcare
Payer ID
CREA8
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Create Healthcare CREA8 837P
Create Healthcare
Payer ID
CREA8
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Create Healthcare CREA8 837I
Create Healthcare
Payer ID
CREATE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Create Healthcare CREATE 270 / 271
Crescent Health Solutions
Payer ID
56213
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Crescent Health Solutions 56213 837P
Crescent Health Solutions
Payer ID
56213
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Crescent Health Solutions 56213 837I
Crestbrook Insurance Company
Payer ID
J1550
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Crestbrook Insurance Company J1550 837P
Crossway HealthShare
Payer ID
33213
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Crossway HealthShare 33213 837P
Crossway HealthShare
Payer ID
33213
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Crossway HealthShare 33213 837I
Crown Life - Great West
Payer ID
62308
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Crown Life - Great West 62308 837P
Crown Life - Great West
Payer ID
62308
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Crown Life - Great West 62308 837I
Crown Life - Great West
Payer ID
62308
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Crown Life - Great West 62308 837D
Croy - Hall Management, Inc.
Payer ID
37266
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Croy - Hall Management, Inc. 37266 837P
Croy - Hall Management, Inc.
Payer ID
37266
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Croy - Hall Management, Inc. 37266 837I
Crum & Forster Indemnity Co
Payer ID
31348
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
Crum & Forster Indemnity Co 31348 837P
Crystal Run Health Plans
Payer ID
46120
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For claims with DOS prior to January 1, 2018.
Crystal Run Health Plans 46120 837P
Crystal Run Health Plans
Payer ID
46430
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For claims with DOS on/after January 1, 2018.
Crystal Run Health Plans 46430 837P
Crystal Run Health Plans
Payer ID
46120
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For claims with DOS prior to January 1, 2018.
Crystal Run Health Plans 46120 837I
Crystal Run Health Plans
Payer ID
46430
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For claims with DOS on/after January 1, 2018.
Crystal Run Health Plans 46430 837I
Culinary Health Fund
Payer ID
CULINARY
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Culinary Health Fund CULINARY 270 / 271
Cumberland Insurance Group
Payer ID
C1091
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
Hide note
View note
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Auto only.
Cumberland Insurance Group C1091 837P
CuraeChoice
Payer ID
CC304
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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CuraeChoice CC304 837P
CuraeChoice
Payer ID
CC304
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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CuraeChoice CC304 837I
Curative Health
Payer ID
CURTV
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Curative Health CURTV 837P
Curative Health
Payer ID
CURTV
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Curative Health CURTV 837I
Curative Health
Payer ID
CURTV
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Curative Health CURTV 835
Curative Health
Payer ID
CURATIVE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Curative Health CURATIVE 270 / 271
Custody Medical Services Program (CMSP)
Payer ID
AMM03
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Custody Medical Services Program (CMSP) AMM03 837P
Custody Medical Services Program (CMSP)
Payer ID
AMM03
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Custody Medical Services Program (CMSP) AMM03 837I
Custom Benefit Administrators
Payer ID
39081
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Custom Benefit Administrators 39081 837P
Custom Benefit Administrators
Payer ID
39081
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Custom Benefit Administrators 39081 837I
Custom Benefit Administrators
Payer ID
39081
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Custom Benefit Administrators 39081 837D
Custom Benefit Administrators
Payer ID
39081
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Custom Benefit Administrators 39081 835
Custom Design Benefits, Inc.
Payer ID
82056
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Custom Design Benefits, Inc. 82056 837P
Custom Design Benefits, Inc.
Payer ID
82056
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Custom Design Benefits, Inc. 82056 837I
Custom Design Benefits, Inc.
Payer ID
82056
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Custom Design Benefits, Inc. 82056 835
Cypress Security (Member of BHHC)
Payer ID
20044
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Covers CA, IL, LA, MN, NC, NJ, OR, TN, TX, VA.
Cypress Security (Member of BHHC) 20044 837P
DBi Services LLC - CORVEL
Payer ID
J3761
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
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Workers Comp and Auto.
DBi Services LLC - CORVEL J3761 837P
DC Health Ryan White Program
Payer ID
DCRWP
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DC Health Ryan White Program DCRWP 837P
DC Health Ryan White Program
Payer ID
DCRWP
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DC Health Ryan White Program DCRWP 837I
DC Risk Solutions
Payer ID
DCRSS
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DC Risk Solutions DCRSS 837P
DC Risk Solutions
Payer ID
DCRSS
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DC Risk Solutions DCRSS 837I
DCHP Texas Medicaid
Payer ID
38261
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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For claim DOS on or after 9/1/22. Claims with DOS prior to 9/1/21 should be sent using payer code 74272.
DCHP Texas Medicaid 38261 837P
DCHP Texas Medicaid
Payer ID
38261
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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For claim DOS on or after 9/1/22. Claims with DOS prior to 9/1/21 should be sent using payer code 74272.
DCHP Texas Medicaid 38261 837I
DDIC
Payer ID
94276
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DDIC 94276 837D
DH Cook Associates
Payer ID
DHCOOK
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DH Cook Associates DHCOOK 270 / 271
DHMN - Preferred IPA Hospital Risk
Payer ID
DHM02
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DHMN - Preferred IPA Hospital Risk DHM02 837P
DHMN - Preferred IPA Hospital Risk
Payer ID
DHM02
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DHMN - Preferred IPA Hospital Risk DHM02 837I
DHMN - Preferred IPA Hospital Risk
Payer ID
DHM02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Automatic ERA enrollment upon electronic claim submission
DHMN - Preferred IPA Hospital Risk DHM02 835
DHMN Santa Cruz
Payer ID
DHM01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DHMN Santa Cruz DHM01 837P
DHMN Santa Cruz
Payer ID
DHM01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DHMN Santa Cruz DHM01 837I
DHMN Santa Cruz
Payer ID
DHM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Automatic ERA enrollment upon electronic claim submission
DHMN Santa Cruz DHM01 835
DHR Provider Management
Payer ID
DHRPM
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Please contact Debra (949-635-0434) to become approved for electronic submissions.
DHR Provider Management DHRPM 837P
DMERC Region A Medicare
Payer ID
16003
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: CT, DE, District of Columbia, MA, ME, MD, NH, NJ, NY, PA, RI, and VT. Effective 6/30/16 (3pm EST), Jurisdiction A will transition from NGS to CGS (Contractor Code: 16013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region A Medicare 16003 837P
DMERC Region A Medicare
Payer ID
16003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: CT, DE, District of Columbia, MA, ME, MD, NH, NJ, NY, PA, RI, and VT. Effective 6/30/16 (3pm EST), Jurisdiction A will transition from NGS to CGS (Contractor Code: 16013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region A Medicare 16003 835
DMERC Region B Medicare
Payer ID
17003
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: IL, IN, KY, MI, MN, OH, and WI. Effective 6/30/16 (3pm EST), Jurisdiction B will transition from NGS to CGS (Contractor Code: 17013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region B Medicare 17003 837P
DMERC Region B Medicare
Payer ID
17003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: IL, IN, KY, MI, MN, OH, and WI. Effective 6/30/16 (3pm EST), Jurisdiction B will transition from NGS to CGS (Contractor Code: 17013). Office Ally will handle all updates on the back end and no submitter action is required.
DMERC Region B Medicare 17003 835
DMERC Region C Medicare
Payer ID
00885
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AL, AR, CO, GA, FL, LA, MS, NC, NM, OK, SC, TN, TX, VA, WV, Puerto Rico, and US Virgin Islands. Contractor Code: 18003.
DMERC Region C Medicare 00885 837P
DMERC Region C Medicare
Payer ID
00885
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AL, AR, CO, GA, FL, LA, MS, NC, NM, OK, SC, TN, TX, VA, WV, Puerto Rico, and US Virgin Islands. Contractor Code: 18003.