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
First Priority Health (FPH) - Highmark
Payer ID
54771
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 those that renewed coverage in 2016.
First Priority Health (FPH) - Highmark 54771 837I
First Priority Health (FPH) - Highmark
Payer ID
54771
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
For those that renewed coverage in 2016.
First Priority Health (FPH) - Highmark 54771 835
First Priority Life Insurance Company (FPLIC) - Highmark
Payer ID
54771
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 those that renewed coverage in 2016.
First Priority Life Insurance Company (FPLIC) - Highmark 54771 837P
First Priority Life Insurance Company (FPLIC) - Highmark
Payer ID
54771
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 those that renewed coverage in 2016.
First Priority Life Insurance Company (FPLIC) - Highmark 54771 837I
First Priority Life Insurance Company (FPLIC) - Highmark
Payer ID
54771
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
For those that renewed coverage in 2016.
First Priority Life Insurance Company (FPLIC) - Highmark 54771 835
First Reliance Standard
Payer ID
13317
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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First Reliance Standard 13317 837D
First Responder Joint Insurance Fund
Payer ID
J3943
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.
First Responder Joint Insurance Fund J3943 837P
First Source (Endeavor)
Payer ID
ENDVR
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
First Source (Endeavor) ENDVR 837P
First Source (Endeavor)
Payer ID
ENDVR
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
First Source (Endeavor) ENDVR 837I
First United American Insurance Company
Payer ID
FUAIC
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
First United American Insurance Company FUAIC 270 / 271
FirstMedicare Direct
Payer ID
FCC01
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
Only for claims with a DOS of 8/1/2021 and forward
FirstMedicare Direct FCC01 837P
FirstMedicare Direct
Payer ID
FCC01
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
Only for claims with a DOS of 8/1/2021 and forward
FirstMedicare Direct FCC01 837I
FirstMedicare Direct
Payer ID
FIRST-MED-DIR
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
FirstMedicare Direct FIRST-MED-DIR 270 / 271
FirstNation Health
Payer ID
65418
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
FirstNation Health 65418 837P
FirstNation Health
Payer ID
65418
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
FirstNation Health 65418 837I
FirstSolutions
Payer ID
FS802
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
Now Known as Bridgeview Company.
FirstSolutions FS802 837P
FirstSolutions
Payer ID
FS802
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
Now Known as Bridgeview Company.
FirstSolutions FS802 835
Firstcare (Medicaid)
Payer ID
94998
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
Firstcare (Medicaid) 94998 837P
Firstcare (Medicaid)
Payer ID
94998
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
Firstcare (Medicaid) 94998 837I
Firstcare (Medicaid)
Payer ID
94998
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
Firstcare (Medicaid) 94998 835
Firstcare and Firstcare Medicaid
Payer ID
94999
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
Firstcare and Firstcare Medicaid 94999 837P
Firstcare and Firstcare Medicaid
Payer ID
94999
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
Firstcare and Firstcare Medicaid 94999 837I
Firstcare and Firstcare Medicaid
Payer ID
94999
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
Firstcare and Firstcare Medicaid 94999 835
Firstcare and Firstcare Medicaid
Payer ID
FIRST-CARE
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
Firstcare and Firstcare Medicaid FIRST-CARE 270 / 271
Firstcomp
Payer ID
J1011
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.
Firstcomp J1011 837P
Fitzharris & Company, Inc.
Payer ID
11244
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
Fitzharris & Company, Inc. 11244 837P
Florida Blue HMO
Payer ID
00590
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
Florida Blue HMO 00590 837P
Florida Blue HMO
Payer ID
00590
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
Florida Blue HMO 00590 837I
Florida Blue HMO
Payer ID
00590
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
Florida Blue HMO 00590 835
Florida Community Care
Payer ID
FLCCR
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
Florida Community Care FLCCR 837P
Florida Community Care
Payer ID
FLCCR
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
Florida Community Care FLCCR 837I
Florida Community Care
Payer ID
FLCCR
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
Florida Community Care FLCCR 835
Florida Complete Care
Payer ID
FLCPC
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
Florida Complete Care FLCPC 837P
Florida Complete Care
Payer ID
FLCPC
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
Florida Complete Care FLCPC 837I
Florida Health Administrators
Payer ID
86753
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
Florida Health Administrators 86753 837P
Florida Health Administrators
Payer ID
86753
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
Florida Health Administrators 86753 837I
Florida Health Care Plan
Payer ID
59322
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
Florida Health Care Plan 59322 270 / 271
Florida Health Solution HMO Company (Commercial ACA Metal Plans)
Payer ID
81044
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
Florida Health Solution HMO Company (Commercial ACA Metal Plans) 81044 837P
Florida Health Solution HMO Company (Commercial ACA Metal Plans)
Payer ID
81044
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
Florida Health Solution HMO Company (Commercial ACA Metal Plans) 81044 837I
Florida Healthcare Plan
Payer ID
59322
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
Florida Healthcare Plan 59322 837P
Florida Healthcare Plan
Payer ID
59322
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
Florida Healthcare Plan 59322 837I
Florida Healthcare Plan
Payer ID
59322
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
Florida Healthcare Plan 59322 835
Florida Hospital Orlando VBR
Payer ID
VB001
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
Florida Hospital Orlando VBR VB001 837P
Florida Hospital Orlando VBR
Payer ID
VB001
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
Florida Hospital Orlando VBR VB001 837I
Florida Hospital Waterman
Payer ID
48116
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
Florida Hospital Waterman 48116 837P
Florida Hospital Waterman
Payer ID
48116
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
Florida Hospital Waterman 48116 837I
Florida Pace Centers Inc
Payer ID
FLPAC
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
Florida Pace Centers Inc FLPAC 837P
Florida Pace Centers Inc
Payer ID
FLPAC
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
Florida Pace Centers Inc FLPAC 837I
Florida Pace Centers Inc
Payer ID
FLPAC
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
Hide note
Florida Pace Centers Inc FLPAC 837D
Florida True Health
Payer ID
77003
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
ERA enrollment under AmeriHealth Caritas.
Florida True Health 77003 837P
Florida True Health
Payer ID
77003
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
ERA enrollment under AmeriHealth Caritas.
Florida True Health 77003 837I
Florida True Health
Payer ID
77003
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
ERA enrollment under AmeriHealth Caritas.
Florida True Health 77003 835
Florists Insurance Company
Payer ID
C1033
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
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Florists Insurance Company C1033 837P
Florists Insurance Company
Payer ID
J1417
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.
Florists Insurance Company J1417 837P
Florists Mutual Insurance Company
Payer ID
C1033
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
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Florists Mutual Insurance Company C1033 837P
Florists Mutual Insurance Company
Payer ID
J1417
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.
Florists Mutual Insurance Company J1417 837P
Flour Bluff ISD
Payer ID
J3895
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.
Flour Bluff ISD J3895 837P
Flume Health, Inc
Payer ID
FH205
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
Flume Health, Inc FH205 837P
Flume Health, Inc
Payer ID
FH205
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
Flume Health, Inc FH205 837I
Focus Plan NC
Payer ID
HFP01
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
Effective 1/1/2020. PAYER ID REQUIRED. Chiropractic claims only. Per HNS, if you have the ability to submit in 837 (5010) format, you should submit directly to HNS using their HNSConnect portal.
Focus Plan NC HFP01 837P
Food, Bakery, Confection Workers Fund of So Cal
Payer ID
FBCWORKERS
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
Food, Bakery, Confection Workers Fund of So Cal FBCWORKERS 270 / 271
Foothill Eye Care Services
Payer ID
EYEN2
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
Foothill Eye Care Services EYEN2 837P
Ford Motor Company
Payer ID
J3793
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
Ford Motor Company J3793 837P
Forest County Potawatomi Insurance Department
Payer ID
25059
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
PO Box 370, Crandon, WI 54520
Forest County Potawatomi Insurance Department 25059 837P
Forest County Potawatomi Insurance Department
Payer ID
25059
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
PO Box 370, Crandon, WI 54520
Forest County Potawatomi Insurance Department 25059 837I
Forethought
Payer ID
AM-INS-FORE
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
Forethought AM-INS-FORE 270 / 271
Foundation Health HMO
Payer ID
FH001
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
Foundation Health HMO FH001 837P
Foundation for Medical Care of Tulare & Kings County
Payer ID
TKFMC
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
Foundation for Medical Care of Tulare & Kings County TKFMC 837P
Foundation for Medical Care of Tulare & Kings County
Payer ID
TKFMC
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
Foundation for Medical Care of Tulare & Kings County TKFMC 837I
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
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
Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 837P
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
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
Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 837I
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 835
Fountain Valley Premier IPA
Payer ID
CAPMN
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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ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 837P
Fountain Valley Premier IPA
Payer ID
CAPMN
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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ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 837I
Fountain Valley Premier IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 835
Fox Valley Medicine Site 199
Payer ID
FVMCH
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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Fox Valley Medicine Site 199 FVMCH 837P
Franciscan Alliance - CORVEL
Payer ID
J1883
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.
Franciscan Alliance - CORVEL J1883 837P
Frankenmuth Mutual
Payer ID
J1440
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.
Frankenmuth Mutual J1440 837P
Franklin Mutual
Payer ID
J3297
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.
Franklin Mutual J3297 837P
Freedom Blue
Payer ID
15459
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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Freedom Blue 15459 837P
Freedom Blue
Payer ID
15459
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Freedom Blue 15459 835
Freedom Blue
Payer ID
FRBLU
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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Freedom Blue FRBLU 270 / 271
Freedom Claims Management
Payer ID
67136
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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Freedom Claims Management 67136 837P
Freedom Claims Management
Payer ID
67136
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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Freedom Claims Management 67136 837I
Freedom Health Incorporated
Payer ID
FREEDOM-HEALTH-INC
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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Freedom Health Incorporated FREEDOM-HEALTH-INC 270 / 271