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
Premier HealthCare Exchange (PHX) – The Benefit Group
Payer ID
88051
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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Premier HealthCare Exchange (PHX) – The Benefit Group 88051 837I
Premier Healthcare Exchange, Inc. (PHX)
Payer ID
PREM-HEX
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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Premier Healthcare Exchange, Inc. (PHX) PREM-HEX 270 / 271
Premier Patient Care IPA
Payer ID
PCMSO
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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Premier Patient Care IPA PCMSO 837P
Premier Patient Care IPA
Payer ID
PPCIP
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
Premier Patient Care IPA PPCIP 837P
Premier Patient Care IPA
Payer ID
PCMSO
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
Premier Patient Care IPA PCMSO 837I
Premier Patient Care IPA
Payer ID
PPCIP
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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Premier Patient Care IPA PPCIP 837I
Premier Patient Care IPA
Payer ID
PPCIP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Hide note
Payer returns ERAs automatically.
Premier Patient Care IPA PPCIP 835
Premier Physician Alliance
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
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Premier Physician Alliance CAPMN 837P
Premier Physician Alliance
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
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Premier Physician Alliance CAPMN 837I
Premier Physician Alliance
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
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ERA enrollment under Conifer Health Solutions.
Premier Physician Alliance CAPMN 835
Premier Physician Alliance Inc
Payer ID
65482
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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Premier Physician Alliance Inc 65482 837P
Premier Physician Network
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
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Premier Physician Network CAPMN 837P
Premier Physician Network
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
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Premier Physician Network CAPMN 837I
Premier Physician Network
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.
Premier Physician Network CAPMN 835
Premier Physician Network (PPN)
Payer ID
MPM22
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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Hide note
Premier Physician Network (PPN) MPM22 837P
Premier Physician Network (PPN)
Payer ID
MPM22
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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Premier Physician Network (PPN) MPM22 837I
PremierCare Health (ProCare MSO)
Payer ID
PCMSO
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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PremierCare Health (ProCare MSO) PCMSO 837P
PremierCare Health (ProCare MSO)
Payer ID
PCMSO
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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PremierCare Health (ProCare MSO) PCMSO 837I
PremierOne Plus IDS
Payer ID
POP11
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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PremierOne Plus IDS POP11 837P
Premiercare Health Network
Payer ID
PHNPA
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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Hide note
Premiercare Health Network PHNPA 837P
Premiercare Health Network
Payer ID
PHNPA
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
Premiercare Health Network PHNPA 837I
Premiercare Health Network
Payer ID
PHNPA
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
Payer returns ERAs automatically.
Premiercare Health Network PHNPA 835
Presbyterian Health Plan
Payer ID
05003
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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Hide note
Presbyterian Health Plan 05003 837P
Presbyterian Health Plan
Payer ID
PREHP
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
Presbyterian Health Plan PREHP 837P
Presbyterian Health Plan
Payer ID
05003
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
Presbyterian Health Plan 05003 837I
Presbyterian Health Plan
Payer ID
PREHP
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
Presbyterian Health Plan PREHP 837I
Presbyterian Health Plan
Payer ID
PREHP
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
Presbyterian Health Plan PREHP 835
Presbyterian Health Plan
Payer ID
05003
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
Presbyterian Health Plan 05003 835
Presbyterian Health Plan, Inc. (Magellan)
Payer ID
01260
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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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Presbyterian Health Plan, Inc. (Magellan) 01260 837P
Presbyterian Health Plan, Inc. (Magellan)
Payer ID
01260
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Presbyterian Health Plan, Inc. (Magellan) 01260 837I
Presbyterian Health Plan, Inc. (Magellan)
Payer ID
01260
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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Hide note
Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Presbyterian Health Plan, Inc. (Magellan) 01260 835
Presbyterian Intercommunity Hospital
Payer ID
BHP01
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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Hide note
Presbyterian Intercommunity Hospital BHP01 837P
Presbyterian Intercommunity Hospital
Payer ID
BHP01
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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Presbyterian Intercommunity Hospital BHP01 837I
Presbyterian Salud (NM)
Payer ID
05003
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
Presbyterian Salud (NM) 05003 837P
Presbyterian Salud (NM)
Payer ID
05003
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
Presbyterian Salud (NM) 05003 837I
Presbyterian Salud (NM)
Payer ID
05003
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
Presbyterian Salud (NM) 05003 835
Presence ERC
Payer ID
46311
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
Presence ERC 46311 837P
Presence ERC
Payer ID
46311
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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Presence ERC 46311 837I
Preserver Insurance Company
Payer ID
J3962
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
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Workers Comp and Auto. Covers CA, IL, LA, MN, NC, NJ, OR, TX.
Preserver Insurance Company J3962 837P
Prestige Health Choice
Payer ID
PRESTIGE
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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Prestige Health Choice PRESTIGE 270 / 271
Preventative Choice Plan
Payer ID
86027
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
Preventative Choice Plan 86027 837D
Prezzo
Payer ID
CB531
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
Prezzo CB531 837P
Prezzo
Payer ID
CB531
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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Prezzo CB531 837I
Primary Care & Pediatric IPA (PCP 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
View note
Hide note
View note
Hide note
Primary Care & Pediatric IPA (PCP IPA) CAPMN 837P
Primary Care & Pediatric IPA (PCP 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
View note
Hide note
View note
Hide note
Primary Care & Pediatric IPA (PCP IPA) CAPMN 837I
Primary Care & Pediatric IPA (PCP IPA)
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.
Primary Care & Pediatric IPA (PCP IPA) CAPMN 835
Primary Care Associates Medical Group (PCAMG)
Payer ID
IP079
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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Primary Care Associates Medical Group (PCAMG) IP079 837P
Primary Care Associates Medical Group (PCAMG)
Payer ID
IP079
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
Primary Care Associates Medical Group (PCAMG) IP079 837I
Primary Care Associates Medical Group (PCAMG)
Payer ID
IP079
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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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Primary Care Associates Medical Group (PCAMG) IP079 835
Primary Care Associates of California (PCAC)
Payer ID
PCACZ
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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Payer ID update: Effective 5/1/2022.
Primary Care Associates of California (PCAC) PCACZ 837P
Primary Care Associates of California (PCAC)
Payer ID
PCACZ
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Payer ID update: Effective 5/1/2022.
Primary Care Associates of California (PCAC) PCACZ 837I
Primary Care Coalition
Payer ID
PCCMC
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
Primary Care Coalition PCCMC 837P
Primary Care Coalition
Payer ID
PCCMC
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
Primary Care Coalition PCCMC 837I
Primary Care of Joliet
Payer ID
PCJOL
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
Primary Care of Joliet PCJOL 837P
Primary Care of Joliet
Payer ID
PCJOL
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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Primary Care of Joliet PCJOL 837I
Primary Choice (Aetna Health Plan of NY/NJ)
Payer ID
PRIMARY-CHOICE
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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Primary Choice (Aetna Health Plan of NY/NJ) PRIMARY-CHOICE 270 / 271
Primary Health Network
Payer ID
82048
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
Primary Health Network 82048 837P
Primary Health Network
Payer ID
82048
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
Primary Health Network 82048 837I
Primary Health of Josephine County
Payer ID
77801
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
Primary Health of Josephine County 77801 837P
Primary Health of Josephine County
Payer ID
77801
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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Primary Health of Josephine County 77801 837I
Primary Physician Care
Payer ID
56144
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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Primary Physician Care 56144 837P
Prime Community Care Central Valley Encounters (MV Medical)
Payer ID
MVCV2
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
Encounter submissions only.
Prime Community Care Central Valley Encounters (MV Medical) MVCV2 837P
Prime Community Care Central Valley (MV Medical)
Payer ID
MVCV1
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
Payer returns ERA's automatically once electronic claim submission begins.
Prime Community Care Central Valley (MV Medical) MVCV1 837P
Prime Community Care Central Valley (MV Medical)
Payer ID
MVCV1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Prime Community Care Central Valley (MV Medical) MVCV1 837I
Prime Community Care Central Valley (MV Medical)
Payer ID
MVCV1
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
Payer returns ERA's automatically once electronic claim submission begins.
Prime Community Care Central Valley (MV Medical) MVCV1 835
Prime Healthcare - CORVEL
Payer ID
J1673
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
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Workers Comp and Auto.
Prime Healthcare - CORVEL J1673 837P
Prime Property & Casulty
Payer ID
C1081
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
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View note
Hide note
Auto only.
Prime Property & Casulty C1081 837P
Prime West Health Systems
Payer ID
61604
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
Prime West Health Systems 61604 837P
Prime West Health Systems
Payer ID
61604
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
Prime West Health Systems 61604 837I
Prime West Health Systems
Payer ID
61604
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
Prime West Health Systems 61604 837D
Prime West Health Systems
Payer ID
61604
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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Prime West Health Systems 61604 835
PrimeCare Medical Group - Chino Valley
Payer ID
PROSP
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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PrimeCare Medical Group - Chino Valley PROSP 837P
PrimeCare Medical Group - Chino Valley
Payer ID
PROSP
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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PrimeCare Medical Group - Chino Valley PROSP 837I
PrimeCare Medical Group - Chino Valley
Payer ID
PROSP
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 Returns ERAs Automatically
PrimeCare Medical Group - Chino Valley PROSP 835
PrimeCare Medical Network
Payer ID
IP079
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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PrimeCare Medical Network IP079 837P
PrimeCare Medical Network
Payer ID
IP079
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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PrimeCare Medical Network IP079 837I
PrimeCare Medical Network
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
PrimeCare Medical Network IP079 835
PrimeCare Medical Network - Citrus Valley
Payer ID
IP079
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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PrimeCare Medical Network - Citrus Valley IP079 837P
PrimeCare Medical Network - Citrus Valley
Payer ID
IP079
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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PrimeCare Medical Network - Citrus Valley IP079 837I
PrimeCare Medical Network - Citrus Valley
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
PrimeCare Medical Network - Citrus Valley IP079 835
PrimeCare, Wisconsin State and Federal Employees and 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
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PrimeCare, Wisconsin State and Federal Employees and Medicaid CX014 837D
PrimeWest Health
Payer ID
PRIME
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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PrimeWest Health PRIME 276 / 277
PrimeWest Health
Payer ID
PRIME
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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PrimeWest Health PRIME 270 / 271
Primecare Medical Network - San Bernardino
Payer ID
IP079
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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Primecare Medical Network - San Bernardino IP079 837P
Primecare Medical Network - San Bernardino
Payer ID
IP079
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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Primecare Medical Network - San Bernardino IP079 837I
Primecare Medical Network - San Bernardino
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Primecare Medical Network - San Bernardino IP079 835
Primewell Health Services
Payer ID
77701
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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Formerly Vantage Health Plan, Inc.
Primewell Health Services 77701 837P
Primewell Health Services
Payer ID
77701
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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Formerly Vantage Health Plan, Inc.
Primewell Health Services 77701 837I
Primewell Health Services
Payer ID
77701
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Enrollment is completed with BCBSLA
Primewell Health Services 77701 835
Prince Georges County Government (MD) - CORVEL
Payer ID
J1891
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.
Prince Georges County Government (MD) - CORVEL J1891 837P
Princeton Premier IPA
Payer ID
PRI01
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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Princeton Premier IPA PRI01 837P
Principal Financial Group
Payer ID
61271
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Principal Financial Group 61271 837D
Principal Financial Group Medicare Supplement (Vision Claims Only)
Payer ID
S1271
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 only payer - IAS Admin Payer.
Principal Financial Group Medicare Supplement (Vision Claims Only) S1271 835
