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
Imperial Health Plan of California Encounters
Payer ID
IHPEN
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 December 9,2019
Imperial Health Plan of California Encounters IHPEN 837I
Imperial Health Plan of California, Inc.
Payer ID
IHP01
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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Effective January 1, 2018.
Imperial Health Plan of California, Inc. IHP01 837P
Imperial Health Plan of California, Inc.
Payer ID
IHP01
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 January 1, 2018.
Imperial Health Plan of California, Inc. IHP01 837I
Imperial Insurance Companies
Payer ID
IICTX
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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Previously known as Imperial Insurance Company of Texas
Imperial Insurance Companies IICTX 837P
Imperial Insurance Companies
Payer ID
IICTX
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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Previously known as Imperial Insurance Company of Texas
Imperial Insurance Companies IICTX 837I
Imperial Insurance Companies INC EXCHANGE AZ
Payer ID
IEXAZ
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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Imperial Insurance Companies INC EXCHANGE AZ IEXAZ 837P
Imperial Insurance Companies INC EXCHANGE AZ
Payer ID
IEXAZ
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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Imperial Insurance Companies INC EXCHANGE AZ IEXAZ 837I
Imperial Insurance Companies INC EXCHANGE UT IEXUT 837P
Imperial Insurance Companies INC EXCHANGE UT
Payer ID
IEXUT
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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Imperial Insurance Companies INC EXCHANGE UT IEXUT 837I
Imperial Insurance Encounters
Payer ID
ITXEN
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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Imperial Insurance Encounters ITXEN 837P
Imperial Insurance Encounters
Payer ID
ITXEN
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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Imperial Insurance Encounters ITXEN 837I
Imperial Insurance Encounters
Payer ID
ITXEN
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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Imperial Insurance Encounters ITXEN 837D
In Physicians Associates – ACTY
Payer ID
INP12
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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(Wellcare, Humana & SCAN LOBs only) Effective 1/25/2021
In Physicians Associates – ACTY INP12 837P
In Physicians Associates – ACTY
Payer ID
INP12
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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(Wellcare, Humana & SCAN LOBs only) Effective 1/25/2021
In Physicians Associates – ACTY INP12 837I
IncentiCare
Payer ID
18151
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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IncentiCare 18151 837P
IncentiCare
Payer ID
18151
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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IncentiCare 18151 837I
Independence Administrators
Payer ID
54763
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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Independence Administrators 54763 837P
Independence Administrators
Payer ID
54763
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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Hide note
Independence Administrators 54763 837I
Independence Administrators
Payer ID
54763
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
Independence Administrators 54763 835
Independence Administrators
Payer ID
11849
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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Independence Administrators 11849 270 / 271
Independence American, Ins. Co.
Payer ID
CB231
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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Independence American, Ins. Co. CB231 837P
Independence American, Ins. Co.
Payer ID
CB231
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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Independence American, Ins. Co. CB231 837I
Independence BC (Pennsylvania)
Payer ID
10366
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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Independence BC (Pennsylvania) 10366 270 / 271
Independence Blue Cross
Payer ID
54704
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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Independence Blue Cross 54704 837P
Independence Blue Cross
Payer ID
54704
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
Independence Blue Cross 54704 837I
Independence Blue Cross
Payer ID
54704
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
Independence Blue Cross 54704 835
Independence Blue Cross
Payer ID
BCINDP
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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[6/17] Transaction currently unavailable.
Independence Blue Cross BCINDP 270 / 271
Independence Care Systems / FIDA-MMP
Payer ID
64284
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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Independence Care Systems / FIDA-MMP 64284 837P
Independence Medical Group - Kern County
Payer ID
MCS03
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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Effective DOS 7/1/2019 and after.
Independence Medical Group - Kern County MCS03 837P
Independence Medical Group - Kern County
Payer ID
MCS03
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 DOS 7/1/2019 and after.
Independence Medical Group - Kern County MCS03 837I
Independence Medical Group - Tulare County
Payer ID
MCS03
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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Effective DOS 7/1/2019 and after.
Independence Medical Group - Tulare County MCS03 837P
Independence Medical Group - Tulare County
Payer ID
MCS03
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 DOS 7/1/2019 and after.
Independence Medical Group - Tulare County MCS03 837I
Independent Health
Payer ID
95308
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
Independent Health 95308 837P
Independent Health
Payer ID
95308
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
Independent Health 95308 835
Independent Health
Payer ID
10368
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
Independent Health 10368 270 / 271
Independent Living System
Payer ID
45048
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
Independent Living System 45048 837P
Independent Living System
Payer ID
45048
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
Independent Living System 45048 837I
Independent Living Systems - CA
Payer ID
81397
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
Independent Living Systems - CA 81397 837P
Independent Living Systems - CA
Payer ID
81397
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
Independent Living Systems - CA 81397 837I
Indian Health Services / Veteran Affairs
Payer ID
MR085
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
Indian Health Services / Veteran Affairs MR085 837P
Indian Health Services / Veteran Affairs
Payer ID
MR085
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
Indian Health Services / Veteran Affairs MR085 837I
Indian Health Services / Veteran Affairs
Payer ID
MR085
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
Indian Health Services / Veteran Affairs MR085 835
Indiana Farmers Mutual - CORVEL
Payer ID
J3960
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.
Indiana Farmers Mutual - CORVEL J3960 837P
Indiana Insurance
Payer ID
J1425
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.
Indiana Insurance J1425 837P
Indiana ProHealth Network
Payer ID
35161
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
Indiana ProHealth Network 35161 837P
Indiana ProHealth Network
Payer ID
35161
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
Indiana ProHealth Network 35161 837I
Indiana ProHealth Network
Payer ID
35161
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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Indiana ProHealth Network 35161 835
Indiana ProHealth Network
Payer ID
PROHLTH-IN
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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Indiana ProHealth Network PROHLTH-IN 270 / 271
Indiana University (IU) Health Plan (Commercial)
Payer ID
IUHP-COMM
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
Indiana University (IU) Health Plan (Commercial) IUHP-COMM 270 / 271
Indiana University (IU) Health Plan (Medicare)
Payer ID
IUHP-MED
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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Indiana University (IU) Health Plan (Medicare) IUHP-MED 270 / 271
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
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
Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 837P
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
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
Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 837I
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
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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Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 835
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
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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Indiana University (IU) Health Plan – Medicare Advantage 95444 837P
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
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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Indiana University (IU) Health Plan – Medicare Advantage 95444 837I
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
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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Indiana University (IU) Health Plan – Medicare Advantage 95444 835
Individual Health Insurance Companies
Payer ID
31059
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
Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through few applies to this transaction.
Individual Health Insurance Companies 31059 837P
Individual Health Insurance Companies
Payer ID
31059
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
Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through few applies to this transaction.
Individual Health Insurance Companies 31059 837I
Individual Health Insurance Companies
Payer ID
31059
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
Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through few applies to this transaction.
Individual Health Insurance Companies 31059 835
Infinity IPA
Payer ID
INFIN
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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Infinity IPA INFIN 837P
Infinity IPA
Payer ID
INFIN
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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Infinity IPA INFIN 837I
Ingham Health Plan Corp.
Payer ID
38343
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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Ingham Health Plan Corp. 38343 837P
Ingham Health Plan Corp.
Payer ID
38343
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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Ingham Health Plan Corp. 38343 837I
Ingles Markets
Payer ID
J1907
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.
Ingles Markets J1907 837P
Inland Empire Electrical Trust (FCHN)
Payer ID
91131
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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Inland Empire Electrical Trust (FCHN) 91131 837P
Inland Empire Electrical Trust (FCHN)
Payer ID
91131
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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Inland Empire Electrical Trust (FCHN) 91131 837I
Inland Empire Health
Payer ID
MED
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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Inland Empire Health MED 270 / 271
Inland Empire Health Medicare
Payer ID
CMC
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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Inland Empire Health Medicare CMC 270 / 271
Inland Empire Health Plan
Payer ID
IEHP1
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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IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 837P
Inland Empire Health Plan
Payer ID
IEHP1
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
IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 837I
Inland Empire Health Plan
Payer ID
IEHP1
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
IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 835
Inland Empire Health Plan
Payer ID
IEHP
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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Inland Empire Health Plan IEHP 270 / 271
Inland Empire health Plan (Covered California)
Payer ID
IECCA
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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Inland Empire health Plan (Covered California) IECCA 837I
Inland Empire health Plan (Covered California)
Payer ID
IECCA
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 is completed under Inland Empire Health Plan (IEHP1)
Inland Empire health Plan (Covered California) IECCA 835
Inland Empire health Plan (Covered California)
Payer ID
IECCA
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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Inland Empire health Plan (Covered California) IECCA 837P
Inland Faculty Medical Group (MV Medical)
Payer ID
MVMM1
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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Payer ID required. Payer returns ERA's automatically once electronic claim submission begins.
Inland Faculty Medical Group (MV Medical) MVMM1 837P
Inland Faculty Medical Group (MV Medical)
Payer ID
MVMM1
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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Payer ID required. Payer returns ERA's automatically once electronic claim submission begins.
Inland Faculty Medical Group (MV Medical) MVMM1 837I
Inland Faculty Medical Group (MV Medical)
Payer ID
MVMM1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Payer ID required. Payer returns ERA's automatically once electronic claim submission begins.
Inland Faculty Medical Group (MV Medical) MVMM1 835
Inland Faculty Medical Group Encounters (MV Medical)
Payer ID
MVMM2
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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Encounter submissions only. Payer ID Required.
Inland Faculty Medical Group Encounters (MV Medical) MVMM2 837P
Inland Health Organization (IHO)
Payer ID
IHORG
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 claims with DOS prior to 7/1/14. All claims with DOS after 7/1/14 should be sent to Payer ID PROH4.
Inland Health Organization (IHO) IHORG 837P
Innermark TPA
Payer ID
98472
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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Innermark TPA 98472 837P
Innermark TPA
Payer ID
98472
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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Innermark TPA 98472 837I
InnovAge
Payer ID
31182
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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InnovAge 31182 837P
InnovAge
Payer ID
31182
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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InnovAge 31182 837I
InnovAge
Payer ID
31182
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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InnovAge 31182 835
Innovante Benefit Administrator
Payer ID
31172
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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Innovante Benefit Administrator 31172 837P
Innovante Benefit Administrator
Payer ID
31172
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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Innovante Benefit Administrator 31172 837I
Innovation Health (Aetna)
Payer ID
40025
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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Innovation Health (Aetna) 40025 837P
Innovation Health (Aetna)
Payer ID
40025
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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Innovation Health (Aetna) 40025 837I
Innovation Health (Aetna)
Payer ID
INNOVATION-HEALTH
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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Innovation Health (Aetna) INNOVATION-HEALTH 270 / 271
Innovative Care Systems (ICS) - San Ramon
Payer ID
J1601
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.
Innovative Care Systems (ICS) - San Ramon J1601 837P