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
Golden State Medicare Health Plan
Payer ID
GSMHP
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
Golden State Medicare Health Plan GSMHP 837P
Golden State Medicare Health Plan
Payer ID
GSMHP
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
Golden State Medicare Health Plan GSMHP 837I
Golden Triangle Physician Alliance (GTPA)
Payer ID
GTPA1
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
Golden Triangle Physician Alliance (GTPA) GTPA1 837P
Golden Triangle Physician Alliance (GTPA)
Payer ID
GTPA1
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
Golden Triangle Physician Alliance (GTPA) GTPA1 837I
Golden West Dental (888 W. Vantura Blvd., Camarillo, CA)
Payer ID
GWD01
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
Golden West Dental (888 W. Vantura Blvd., Camarillo, CA) GWD01 837D
Gonzaba Medical Group
Payer ID
GMGSA
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
Gonzaba Medical Group GMGSA 837P
Gonzaba Medical Group
Payer ID
GMGSA
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
Gonzaba Medical Group GMGSA 837I
Gonzaba Medical Group
Payer ID
GMGSA
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
Gonzaba Medical Group GMGSA 835
Good2go Insurance (aka Personal Service Insurance)
Payer ID
C1094
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.
Good2go Insurance (aka Personal Service Insurance) C1094 837P
Goodfellow Top Grade Construction LLC
Payer ID
J3906
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.
Goodfellow Top Grade Construction LLC J3906 837P
Goodrich
Payer ID
J1462
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.
Goodrich J1462 837P
Government Employees Hospital Association (GEHA)
Payer ID
44054
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
Government Employees Hospital Association (GEHA) 44054 837P
Government Employees Hospital Association (GEHA)
Payer ID
44054
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
Government Employees Hospital Association (GEHA) 44054 837I
Government Employees Hospital Association (GEHA)
Payer ID
44054
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
Government Employees Hospital Association (GEHA) 44054 837D
Government Employees Hospital Association (GEHA)
Payer ID
44054
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
Government Employees Hospital Association (GEHA) 44054 835
Government Employees Hospital Association (GEHA)
Payer ID
10275
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
Government Employees Hospital Association (GEHA) 10275 276 / 277
Government Employees Hospital Association (GEHA)
Payer ID
10275
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
Government Employees Hospital Association (GEHA) 10275 270 / 271
Grady Healthcare - Georgia Medicaid
Payer ID
CX014
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
Grady Healthcare - Georgia Medicaid CX014 837D
Grand River Insurance (Auto only)
Payer ID
C1038
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.
Grand River Insurance (Auto only) C1038 837P
Grand River Insurance (WC only)
Payer ID
J1566
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.
Grand River Insurance (WC only) J1566 837P
Grange Mutual Casualty Company
Payer ID
10322
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.
Grange Mutual Casualty Company 10322 837P
Grange WC
Payer ID
14060
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.
Grange WC 14060 837P
Granite State (Centene)
Payer ID
68069
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
Granite State (Centene) 68069 837P
Granite State (Centene)
Payer ID
68069
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
Granite State (Centene) 68069 837I
Granite State (Centene)
Payer ID
68069
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 forms will be listed under Centene Corporation.
Granite State (Centene) 68069 835
Granite State (Centene)
Payer ID
GRANITE
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
Granite State (Centene) GRANITE 270 / 271
Gravie Inc
Payer ID
GRV01
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
Gravie Inc GRV01 837P
Gravie Inc
Payer ID
GRV01
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
Gravie Inc GRV01 837I
Gravie Inc
Payer ID
GRV01
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
Gravie Inc GRV01 835
Gravie Inc
Payer ID
GRAVIE-INC
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
Gravie Inc GRAVIE-INC 270 / 271
Great American Alliance Ins Co.
Payer ID
26832
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.
Great American Alliance Ins Co. 26832 837P
Great American Assurance Co.
Payer ID
26344
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.
Great American Assurance Co. 26344 837P
Great American Ins. Co.
Payer ID
16691
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.
Great American Ins. Co. 16691 837P
Great American Ins. Co. of NY
Payer ID
22136
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.
Great American Ins. Co. of NY 22136 837P
Great American Life Insurance Company - Medicare Supplement
Payer ID
GAIMS
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
Great American Life Insurance Company - Medicare Supplement GAIMS 270 / 271
Great Divide Insurance
Payer ID
25224
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.
Great Divide Insurance 25224 837P
Great Plains Medicare Advantage
Payer ID
RP035
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
Great Plains Medicare Advantage RP035 837P
Great Plains Medicare Advantage
Payer ID
RP035
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
Great Plains Medicare Advantage RP035 837I
Great Southern Life Insurance Co Medicare Supplement
Payer ID
96477
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 only payer - IAS Admin Payer.
Great Southern Life Insurance Co Medicare Supplement 96477 835
Great States Health IICT
Payer ID
GSHTX
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
Great States Health IICT GSHTX 837P
Great States Health IICT
Payer ID
GSHTX
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
Great States Health IICT GSHTX 837I
Great West Health Care
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
Great West Health Care 62308 837P
Great West Health Care
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
Great West Health Care 62308 837I
Great West Health Care
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
Hide note
Great West Health Care 62308 837D
Great West Health Care
Payer ID
62308
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
Enrollment instructions listed under Cigna Healthcare.
Great West Health Care 62308 835
Great West Health Care
Payer ID
GREAT-WEST
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
Great West Health Care GREAT-WEST 270 / 271
Great-West Life & Annuity Insurance Company
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
Great-West Life & Annuity Insurance Company 62308 837P
Great-West Life & Annuity Insurance Company
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
Great-West Life & Annuity Insurance Company 62308 837I
Great-West Life & Annuity Insurance Company
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
Hide note
Great-West Life & Annuity Insurance Company 62308 837D
Greater Covina Medical Group (GCMG) (Regal)
Payer ID
GCMG1
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
Greater Covina Medical Group (GCMG) (Regal) GCMG1 837P
Greater L.A. Healthcare
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
Greater L.A. Healthcare CAPMN 837P
Greater L.A. Healthcare
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
Greater L.A. Healthcare CAPMN 837I
Greater L.A. Healthcare
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
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Greater L.A. Healthcare CAPMN 835
Greater Newport Physicians MemorialCare (formerly known as Greater Newport Physicians)
Payer ID
GNPMG
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
The ERA enrollment form will be listed under "MemorialCare".
Greater Newport Physicians MemorialCare (formerly known as Greater Newport Physicians) GNPMG 837P
Greater Newport Physicians MemorialCare (formerly known as Greater Newport Physicians)
Payer ID
GNPMG
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
The ERA enrollment form will be listed under "MemorialCare".
Greater Newport Physicians MemorialCare (formerly known as Greater Newport Physicians) GNPMG 837I
Greater Newport Physicians MemorialCare (formerly known as Greater Newport Physicians)
Payer ID
GNPMG
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
The ERA enrollment form will be listed under "MemorialCare".
Greater Newport Physicians MemorialCare (formerly known as Greater Newport Physicians) GNPMG 835
Greater Orange Medical Group
Payer ID
NMM01
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
Greater Orange Medical Group NMM01 837P
Greater Orange Medical Group
Payer ID
NMM01
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
Greater Orange Medical Group NMM01 837I
Greater Orange Medical Group
Payer ID
NMM01
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
Greater Orange Medical Group NMM01 835
Greater Oregon Behavioral Health Inc
Payer ID
GOBHI
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
Please direct claims for DOS after 1/1/2020 to Payer ID 13350. All other claims will be dropped to paper or must be submitted on the payers portal. www.gobhi.org/billing
Greater Oregon Behavioral Health Inc GOBHI 837P
Greater Oregon Behavioral Health Inc
Payer ID
GOBHI
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
Please direct claims for DOS after 1/1/2020 to Payer ID 13350. All other claims will be dropped to paper or must be submitted on the payers portal. www.gobhi.org/billing
Greater Oregon Behavioral Health Inc GOBHI 837I
Greater Oregon Behavioral Health Inc
Payer ID
GOBHI
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
Please direct claims for DOS after 1/1/2020 to Payer ID 13350. All other claims will be dropped to paper or must be submitted on the payers portal. www.gobhi.org/billing
Greater Oregon Behavioral Health Inc GOBHI 835
Greater San Gabriel Medical Group
Payer ID
NMM01
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
Greater San Gabriel Medical Group NMM01 837P
Greater San Gabriel Medical Group
Payer ID
NMM01
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
Greater San Gabriel Medical Group NMM01 837I
Greater San Gabriel Medical Group
Payer ID
NMM01
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
Greater San Gabriel Medical Group NMM01 835
Greater San Gabriel Valley Physicians
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
Greater San Gabriel Valley Physicians CAPMN 837P
Greater San Gabriel Valley Physicians
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
Greater San Gabriel Valley Physicians CAPMN 837I
Greater San Gabriel Valley Physicians
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
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Greater San Gabriel Valley Physicians CAPMN 835
Greater Tri-Cities IPA
Payer ID
PDT01
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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Form can be found under "Physicians Data Trust".
Greater Tri-Cities IPA PDT01 837P
Greater Tri-Cities IPA
Payer ID
PDT01
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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Form can be found under "Physicians Data Trust".
Greater Tri-Cities IPA PDT01 837I
Greater Tri-Cities IPA
Payer ID
PDT01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Form can be found under "Physicians Data Trust".
Greater Tri-Cities IPA PDT01 835
Green Diamond WA - CORVEL
Payer ID
J1642
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.
Green Diamond WA - CORVEL J1642 837P
Greentree Administrators
Payer ID
78521
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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Greentree Administrators 78521 837P
Greentree Administrators
Payer ID
78521
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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Greentree Administrators 78521 837I
Grinnell Reinsurance Company
Payer ID
J1571
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. At this time, only Professional (HCFA) claims are accepted.
Grinnell Reinsurance Company J1571 837P
Grinnell Select - CORVEL
Payer ID
J1541
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.
Grinnell Select - CORVEL J1541 837P
Group Administrators Ltd.
Payer ID
36338
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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Group Administrators Ltd. 36338 837P
Group Administrators Ltd.
Payer ID
36338
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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Group Administrators Ltd. 36338 837I
Group Benefit Services
Payer ID
CB951
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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Group Benefit Services CB951 837P
Group Benefit Services
Payer ID
CB951
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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Group Benefit Services CB951 837I
Group Benefit Services
Payer ID
CB951
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Group Benefit Services CB951 835
Group Benefit Services, Inc. (Missouri)
Payer ID
80241
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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Group Benefit Services, Inc. (Missouri) 80241 837P
Group Benefit Services, Inc. (Missouri)
Payer ID
80241
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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Group Benefit Services, Inc. (Missouri) 80241 837I
Group Benefits - Louisiana
Payer ID
72087
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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Group Benefits - Louisiana 72087 837P
Group Benefits - Louisiana
Payer ID
GRPBLA
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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Group Benefits - Louisiana GRPBLA 270 / 271
Group Health Cooperative
Payer ID
11662
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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Group Health Cooperative 11662 270 / 271
Group Health Cooperative (GHC)
Payer ID
91051
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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Group Health Cooperative (GHC) 91051 837P
Group Health Cooperative (GHC)
Payer ID
91051
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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Group Health Cooperative (GHC) 91051 837I
Group Health Cooperative (GHC)
Payer ID
91051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Group Health Cooperative (GHC) 91051 835
Group Health Cooperative of Eau Claire
Payer ID
95192
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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Group Health Cooperative of Eau Claire 95192 837P
Group Health Cooperative of Eau Claire
Payer ID
95192
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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Group Health Cooperative of Eau Claire 95192 837I
Group Health Cooperative of Eau Claire
Payer ID
95192
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Group Health Cooperative of Eau Claire 95192 835
Group Health Cooperative of South Central Wisconsin (Claims)
Payer ID
39167
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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Group Health Cooperative of South Central Wisconsin (Claims) 39167 837P
Group Health Cooperative of South Central Wisconsin (Claims)
Payer ID
39167
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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Group Health Cooperative of South Central Wisconsin (Claims) 39167 837I
Group Health Cooperative of South Central Wisconsin (Claims)
Payer ID
39167
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Group Health Cooperative of South Central Wisconsin (Claims) 39167 835
Group Health Cooperative of South Central Wisconsin (Encounters)
Payer ID
39168
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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Group Health Cooperative of South Central Wisconsin (Encounters) 39168 837P
Group Health Cooperative of South Central Wisconsin (Encounters)
Payer ID
39168
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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Group Health Cooperative of South Central Wisconsin (Encounters) 39168 837I
Group Health Incorporated
Payer ID
GRPHLTHINC
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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Group Health Incorporated GRPHLTHINC 270 / 271
Group Health Options (Pacific Northwest)
Payer ID
91051
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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Group Health Options (Pacific Northwest) 91051 837P
Group Health Options (Pacific Northwest)
Payer ID
91051
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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Group Health Options (Pacific Northwest) 91051 837I
