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
Everpointe
Payer ID
32052
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
Everpointe 32052 837I
Everpointe
Payer ID
EVERPOINTE
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
Everpointe EVERPOINTE 270 / 271
Evolutions Healthcare Systems
Payer ID
59313
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
New Port Richey, Florida.
Evolutions Healthcare Systems 59313 837P
Evolutions Healthcare Systems
Payer ID
59313
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
New Port Richey, Florida.
Evolutions Healthcare Systems 59313 837I
Evolutions Healthcare Systems
Payer ID
59313
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
New Port Richey, Florida.
Evolutions Healthcare Systems 59313 835
Evry Health
Payer ID
EH001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Evry Health EH001 837P
Evry Health
Payer ID
EH001
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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Evry Health EH001 837I
Evry Health
Payer ID
EVRY-HEALTH
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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Evry Health EVRY-HEALTH 270 / 271
Exceedent LLC
Payer ID
22344
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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Exceedent LLC 22344 837P
Exceedent LLC
Payer ID
22344
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
Exceedent LLC 22344 837I
Excel MSO
Payer ID
EXC01
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
Hide note
Excel MSO EXC01 837P
Excel MSO
Payer ID
EXC01
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
Excel MSO EXC01 837I
Excel MSO
Payer ID
EXC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Hide note
As of 1/1/24, enrollment is completed under Optum Care Network (PMGSJ)
Excel MSO EXC01 835
Excel MSO UHC PPO
Payer ID
EXC02
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically.
Excel MSO UHC PPO EXC02 837P
Excel MSO UHC PPO
Payer ID
EXC02
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically.
Excel MSO UHC PPO EXC02 837I
Excel MSO UHC PPO
Payer ID
EXC02
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.
Excel MSO UHC PPO EXC02 835
Exceptional Care Medical Group (ECMG)
Payer ID
CAPMN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Exceptional Care Medical Group (ECMG) CAPMN 837P
Exceptional Care Medical Group (ECMG)
Payer ID
CAPMN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Exceptional Care Medical Group (ECMG) CAPMN 837I
Exceptional Care Medical Group (ECMG)
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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ERA enrollment under Conifer Health Solutions.
Exceptional Care Medical Group (ECMG) CAPMN 835
Exclusicare
Payer ID
71412
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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Exclusicare 71412 837P
Exclusicare
Payer ID
71412
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
Exclusicare 71412 837I
Exclusicare
Payer ID
71412
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Exclusicare 71412 837D
Exclusicare
Payer ID
71412
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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Exclusicare 71412 835
Exclusicare
Payer ID
EXCLUSICARE
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
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Exclusicare EXCLUSICARE 270 / 271
Exemplar Health
Payer ID
83383
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
Exemplar Health 83383 837P
Exemplar Health
Payer ID
83383
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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Exemplar Health 83383 837I
Exemplar Health Insurance Company
Payer ID
54096
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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Medicare plans only.
Exemplar Health Insurance Company 54096 837P
Exemplar Health Insurance Company
Payer ID
54096
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
Medicare plans only.
Exemplar Health Insurance Company 54096 837I
Express, LLC - CORVEL
Payer ID
J3739
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Workers Comp and Auto.
Express, LLC - CORVEL J3739 837P
Extended MLTC
Payer ID
46166
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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Extended MLTC 46166 837P
Extended MLTC
Payer ID
46166
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
Extended MLTC 46166 837I
ExxonMobil Corporation - CORVEL
Payer ID
J1606
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.
ExxonMobil Corporation - CORVEL J1606 837P
Eye Management Inc.
Payer ID
12K89
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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Eye Management Inc. 12K89 837P
Eye Management Inc.
Payer ID
12K89
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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Eye Management Inc. 12K89 837I
EyeMed
Payer ID
31165
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
EyeMed 31165 837P
Eyecare 2020
Payer ID
2020E
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
Eyecare 2020 2020E 837P
Eyenez Eye Institute
Payer ID
EYEN1
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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Eyenez Eye Institute EYEN1 837P
F40 Alaska Carpenters Trust
Payer ID
91136
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
F40 Alaska Carpenters Trust 91136 837P
F40 Alaska Carpenters Trust
Payer ID
91136
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
F40 Alaska Carpenters Trust 91136 837I
FABOH (CHP RPU)
Payer ID
39112
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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FABOH (CHP RPU) 39112 837P
FABOH (CHP RPU)
Payer ID
39112
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
FABOH (CHP RPU) 39112 837I
FCCI
Payer ID
J1830
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.
FCCI J1830 837P
FCE Benefit Administrators
Payer ID
33033
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
FCE Benefit Administrators 33033 837P
FCE Benefit Administrators
Payer ID
33033
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
FCE Benefit Administrators 33033 837I
FCE Benefit Administrators
Payer ID
33033
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
FCE Benefit Administrators 33033 835
FCS Administrators
Payer ID
J3933
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.
FCS Administrators J3933 837P
FEP BlueDental (International)
Payer ID
BCAFD
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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FEP BlueDental (International) BCAFD 837D
FKI Industries, Inc.
Payer ID
J1047
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.
FKI Industries, Inc. J1047 837P
FMI
Payer ID
J3296
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.
FMI J3296 837P
Facey Medical Foundation
Payer ID
95432
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
Automatic ERA enrollment.
Facey Medical Foundation 95432 837P
Facey Medical Foundation
Payer ID
95432
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
Automatic ERA enrollment.
Facey Medical Foundation 95432 835
Factory 2 U
Payer ID
J1019
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.
Factory 2 U J1019 837P
Fair Price
Payer ID
62956
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
Fair Price 62956 837P
Fair Price
Payer ID
62956
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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Fair Price 62956 837I
Fairchild Fasteners - CORVEL
Payer ID
J1624
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.
Fairchild Fasteners - CORVEL J1624 837P
Fairfax County Government - CORVEL
Payer ID
J1884
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.
Fairfax County Government - CORVEL J1884 837P
Fairmont Specialty Insurance Company - TX
Payer ID
J1697
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Fairmont Specialty Insurance Company - TX J1697 837P
Fairview Health Services
Payer ID
J1618
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Fairview Health Services J1618 837P
Falling Colors (BHSD STAR)
Payer ID
FCC20
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
ERAs returned automatically.
Falling Colors (BHSD STAR) FCC20 837P
Falling Colors (BHSD STAR)
Payer ID
FCC20
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
ERAs returned automatically.
Falling Colors (BHSD STAR) FCC20 837I
Falling Colors (BHSD STAR)
Payer ID
FCC20
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
ERAs returned automatically.
Falling Colors (BHSD STAR) FCC20 835
Fallon Community Health
Payer ID
22254
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
Fallon Community Health 22254 837P
Fallon Community Health
Payer ID
22254
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
Fallon Community Health 22254 837I
Fallon Community Health
Payer ID
22254
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
Fallon Community Health 22254 835
Fallon Community Health Plan
Payer ID
FALLN
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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Fallon Community Health Plan FALLN 270 / 271
Fallon Health (Transplant Claims ONLY)
Payer ID
FT254
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
Fallon Health (Transplant Claims ONLY) FT254 837P
Fallon Health (Transplant Claims ONLY)
Payer ID
FT254
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
Fallon Health (Transplant Claims ONLY) FT254 837I
Fallon Transplant
Payer ID
FT254
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
Fallon Transplant FT254 837P
Fallon Transplant
Payer ID
FT254
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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Fallon Transplant FT254 837I
Family Care Medicaid
Payer ID
FCD01
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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Family Care Medicaid FCD01 837P
Family Care Specialists
Payer ID
FCS01
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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Family Care Specialists FCS01 837P
Family Care Specialists
Payer ID
FCS01
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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Family Care Specialists FCS01 837I
Family Choice Medical Services
Payer ID
FCMS2
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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Family Choice Medical Services FCMS2 837P
Family Choice Medical Services
Payer ID
FCMS2
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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Family Choice Medical Services FCMS2 837I
Family Choice Medical Services
Payer ID
FCMS2
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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Family Choice Medical Services FCMS2 837D
Family Choice Medical Services
Payer ID
FCMS2
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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Family Choice Medical Services FCMS2 835
Family Dental Care, Inc.
Payer ID
FDCI1
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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Family Dental Care, Inc. FDCI1 837P
Family Dental Care, Inc.
Payer ID
FDCI1
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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Family Dental Care, Inc. FDCI1 837I
Family Health Alliance
Payer ID
CAPMN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Family Health Alliance CAPMN 837P
Family Health Alliance
Payer ID
CAPMN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Family Health Alliance CAPMN 837I
Family Health Alliance
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment under Conifer Health Solutions.
Family Health Alliance CAPMN 835
Family Health Network
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
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For DOS prior to 1/1/2020.
Family Health Network 85468 837P
Family Health Network
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
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For DOS prior to 1/1/2020.
Family Health Network 85468 837I
Family Health Network
Payer ID
FAMHLTH
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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Family Health Network FAMHLTH 270 / 271
Family Medical Network
Payer ID
36396
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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Family Medical Network 36396 837P
Family Medical Network
Payer ID
36396
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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Family Medical Network 36396 837I
Family Practice Medical Group
Payer ID
10145
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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Family Practice Medical Group 10145 837P
Family Practice Medical Group
Payer ID
10145
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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Family Practice Medical Group 10145 837I
Family Practice Medical Group
Payer ID
10145
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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Family Practice Medical Group 10145 835
Family Seniors Medical Group
Payer ID
HCMG1
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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Please contact the payer (951-791-1111) prior to submitting claims electronically.
Family Seniors Medical Group HCMG1 837P
Family Seniors Medical Group
Payer ID
HCMG1
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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Please contact the payer (951-791-1111) prior to submitting claims electronically.
Family Seniors Medical Group HCMG1 837I
Farm Bureau Health Plans
Payer ID
RP061
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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Farm Bureau Health Plans RP061 837P
Farm Bureau Health Plans
Payer ID
RP061
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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Farm Bureau Health Plans RP061 837I
Farm Bureau Health Plans
Payer ID
FARM-BUREAU
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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Farm Bureau Health Plans FARM-BUREAU 270 / 271
Farm Bureau Health Plans MAPD
Payer ID
FARM-MAPD
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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Farm Bureau Health Plans MAPD FARM-MAPD 270 / 271
Farm Bureau Mutual Insurance Company
Payer ID
J1853
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Farm Bureau Mutual Insurance Company J1853 837P
Farmer's Insurance (Commercial)
Payer ID
C1034
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Farmer's Insurance (Commercial) C1034 837P
Farmers Insurance
Payer ID
C1025
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically for claims submitted.
Farmers Insurance C1025 837P
Farmers Insurance Exchange
Payer ID
J1563
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.
Farmers Insurance Exchange J1563 837P
Farmers \ Civic Property and Casualty Company
Payer ID
J1687
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Farmers \ Civic Property and Casualty Company J1687 837P
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