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
Select Health of South Carolina
Payer ID
23285
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
Select Health of South Carolina 23285 837I
Select Health of South Carolina
Payer ID
23285
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
Select Health of South Carolina 23285 835
Select Health of Utah
Payer ID
SX107
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
A UHIN pass through few applies to this transaction.
Select Health of Utah SX107 837P
Select Health of Utah
Payer ID
SX107
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
A UHIN pass through few applies to this transaction.
Select Health of Utah SX107 837I
Select Health of Utah
Payer ID
SX107
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
A UHIN pass through few applies to this transaction.
Select Health of Utah SX107 835
Select Health of Utah
Payer ID
13161
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
Select Health of Utah 13161 270 / 271
Select Healthcare System, Inc.
Payer ID
SHIPA
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
Select Healthcare System, Inc. SHIPA 837P
Select Healthcare System, Inc.
Payer ID
SHIPA
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
Select Healthcare System, Inc. SHIPA 837I
Select Health of South Carolina
Payer ID
SHSC
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
Select Health of South Carolina SHSC 270 / 271
Select Senior Clinic
Payer ID
SSC11
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
Select Senior Clinic SSC11 837P
Select Senior Clinic
Payer ID
SSC11
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
Select Senior Clinic SSC11 837I
Select Senior Clinic
Payer ID
SLCT-SENIOR
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
Select Senior Clinic SLCT-SENIOR 270 / 271
SelectCare Texas Beaumont
Payer ID
SLCTCRE-BEAU
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
SelectCare Texas Beaumont SLCTCRE-BEAU 270 / 271
SelectCare of Texas (GTPA - Golden Triangle)
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
SelectCare of Texas (GTPA - Golden Triangle) GTPA1 837P
SelectCare of Texas (GTPA - Golden Triangle)
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
SelectCare of Texas (GTPA - Golden Triangle) GTPA1 837I
SelectCare of Texas (HPN - Heritage Physicians)
Payer ID
76045
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
claims are to be submitted to Wellcare payer id 14163
SelectCare of Texas (HPN - Heritage Physicians) 76045 837P
SelectCare of Texas (HPN - Heritage Physicians)
Payer ID
76045
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
claims are to be submitted to Wellcare payer id 14163
SelectCare of Texas (HPN - Heritage Physicians) 76045 837I
SelectCare of Texas (HPN - Heritage Physicians)
Payer ID
76045
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
claims are to be submitted to Wellcare payer id 14163 and EFT/ERA for Wellcare is available through Payspan under payer ID 14163.
SelectCare of Texas (HPN - Heritage Physicians) 76045 835
SelectCare of Texas (Houston)
Payer ID
HPN11
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
SelectCare of Texas (Houston) HPN11 837P
SelectCare of Texas (Houston)
Payer ID
HPN11
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
SelectCare of Texas (Houston) HPN11 837I
SelectCare of Texas (Kelsey-Seybold)
Payer ID
KLSY1
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
SelectCare of Texas (Kelsey-Seybold) KLSY1 837P
SelectCare of Texas (NWDC)
Payer ID
62119
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
SelectCare of Texas (NWDC) 62119 837P
SelectCare of Texas (NWDC)
Payer ID
62119
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
SelectCare of Texas (NWDC) 62119 837I
Selective
Payer ID
12572
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.
Selective 12572 837P
Selective Insurance
Payer ID
C1077
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. Covers only MN and NJ.
Selective Insurance C1077 837P
Self Insured Fund For FL Florists And Nurseries
Payer ID
J1417
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Self Insured Fund For FL Florists And Nurseries J1417 837P
Self Insured Fund – MA
Payer ID
J1417
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Self Insured Fund – MA J1417 837P
Self Insured Plans
Payer ID
36404
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
Naples, FL.
Self Insured Plans 36404 837P
Self Insured Plans
Payer ID
36404
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
Naples, FL.
Self Insured Plans 36404 835
Self Insured Services Company (SISCO)
Payer ID
44827
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
Self Insured Services Company (SISCO) 44827 837P
Self Insured Services Company (SISCO)
Payer ID
44827
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
Self Insured Services Company (SISCO) 44827 837I
Self Insured Services Company (SISCO)
Payer ID
44827
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
Self Insured Services Company (SISCO) 44827 835
Self Insured Services Company (SISCO)
Payer ID
SISCO
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
Self Insured Services Company (SISCO) SISCO 270 / 271
Self-Funded Plans, Inc.
Payer ID
34131
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
Self-Funded Plans, Inc. 34131 837P
Self-Funded Plans, Inc.
Payer ID
34131
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
Self-Funded Plans, Inc. 34131 837I
Self-Insured Schools of California (SISC)
Payer ID
J1520
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.
Self-Insured Schools of California (SISC) J1520 837P
Selman Tricare Supplement Plans
Payer ID
TRSEL
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
Selman Tricare Supplement Plans TRSEL 837P
Selman Tricare Supplement Plans
Payer ID
TRSEL
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
Selman Tricare Supplement Plans TRSEL 837I
Selman and Company
Payer ID
52214
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For claims with DOS 1/1/19 to present.
Selman and Company 52214 837P
Selman and Company
Payer ID
52214
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For claims with DOS 1/1/19 to present.
Selman and Company 52214 837I
Selman and Company
Payer ID
SELMAN
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
For claims with DOS 1/1/19 to present.
Selman and Company SELMAN 270 / 271
Selman and Company (Tricare/Champus)
Payer ID
TRI-SELMAN
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
For claims with DOS prior to 1/1/19.
Selman and Company (Tricare/Champus) TRI-SELMAN 270 / 271
Sendero IdealCare
Payer ID
11440
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For IdealCare claims with DOS on/after January 1st 2017 - December 31st 2018.
Sendero IdealCare 11440 837P
Sendero IdealCare
Payer ID
11440
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For IdealCare claims with DOS on/after January 1st 2017 - December 31st 2018.
Sendero IdealCare 11440 837I
Sendero IdealCare SHP
Payer ID
MV440
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For IdealCare claims with DOS on/after January 1st 2019.
Sendero IdealCare SHP MV440 837P
Sendero IdealCare SHP
Payer ID
MV440
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For IdealCare claims with DOS on/after January 1st 2019.
Sendero IdealCare SHP MV440 837I
Senior Choice (Aetna Health Plan of NY/NJ)
Payer ID
SENIOR-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
View note
Hide note
Senior Choice (Aetna Health Plan of NY/NJ) SENIOR-CHOICE 270 / 271
Senior First IPA (dba ChoiceOne IPA )
Payer ID
GCMSO
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
Senior First IPA (dba ChoiceOne IPA ) GCMSO 837P
Senior First IPA (dba ChoiceOne IPA )
Payer ID
GCMSO
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
Senior First IPA (dba ChoiceOne IPA ) GCMSO 837I
Senior Network Health
Payer ID
15682
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
Senior Network Health 15682 837P
Senior Network Health
Payer ID
15682
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
Senior Network Health 15682 837I
Senior Network Health
Payer ID
15682
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
Senior Network Health 15682 835
Senior Whole Health Massachusetts
Payer ID
SWHMA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Effective 1/1/2022.
Senior Whole Health Massachusetts SWHMA 837P
Senior Whole Health Massachusetts
Payer ID
SWHMA
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Effective 1/1/2022.
Senior Whole Health Massachusetts SWHMA 837I
Senior Whole Health Massachusetts
Payer ID
SWHMA
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
Effective 1/1/2022. Enrollment completed under 'Molina Healthcare'
Senior Whole Health Massachusetts SWHMA 835
Senior Whole Health Massachusetts
Payer ID
SWHMA
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
Senior Whole Health Massachusetts SWHMA 270 / 271
Senior Whole Health New York (MLTC Only)
Payer ID
SWHNY
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For DOS 4/1/2021 and forward.
Senior Whole Health New York (MLTC Only) SWHNY 837P
Senior Whole Health New York (MLTC Only)
Payer ID
SWHNY
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For DOS 4/1/2021 and forward.
Senior Whole Health New York (MLTC Only) SWHNY 837I
Senior Whole Health New York (MLTC Only)
Payer ID
SWHNY
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
For DOS 4/1/2021 and forward. Enrollment completed under 'Molina Healthcare'
Senior Whole Health New York (MLTC Only) SWHNY 835
Senior Whole Health New York
Payer ID
SWHNY
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
Senior Whole Health New York SWHNY 270 / 271
Sentara Family Plan / Sentara Health Management
Payer ID
54154
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
Sentara Family Plan / Sentara Health Management 54154 837P
Sentara Family Plan / Sentara Health Management
Payer ID
54154
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
Sentara Family Plan / Sentara Health Management 54154 837I
Sentara Family Plan / Sentara Health Management
Payer ID
54154
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
When completing ERA Enrollment for the Payer through Payspan, they will be listed as 'Optima Health Plan'
Sentara Family Plan / Sentara Health Management 54154 835
Sentara Mental Health Professional
Payer ID
5415M
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
Sentara Mental Health Professional 5415M 837P
Sentara Mental Health Professional
Payer ID
5415M
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 Optima/Sentara
Sentara Mental Health Professional 5415M 835
Sentinel Management Services
Payer ID
23249
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
Sentinel Management Services 23249 837P
Sentinel Management Services
Payer ID
23249
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
Sentinel Management Services 23249 837I
Sentinel Management Services
Payer ID
SENTINELMS
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
Sentinel Management Services SENTINELMS 270 / 271
Sentinel Security Life Insurance Company
Payer ID
87020
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
Secondary Payer ONLY - Medicare Supplement
Sentinel Security Life Insurance Company 87020 837P
Sentinel Security Life Insurance Company
Payer ID
87020
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
Secondary Payer ONLY - Medicare Supplement
Sentinel Security Life Insurance Company 87020 837I
Sentinel Security Life Insurance Company
Payer ID
87020
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
Secondary Payer ONLY - Medicare Supplement
Sentinel Security Life Insurance Company 87020 835
Sentinel Security Life Insurance Company
Payer ID
SSLIC
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
Sentinel Security Life Insurance Company SSLIC 270 / 271
Sentry Auto
Payer ID
C1033
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Sentry Auto C1033 837P
Sentry Casualty Company
Payer ID
J1417
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Sentry Casualty Company J1417 837P
Sentry Insurance
Payer ID
J1417
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Sentry Insurance J1417 837P
Sentry Insurance A Mutual Company
Payer ID
J1417
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Sentry Insurance A Mutual Company J1417 837P
Sentry Insurance Company Employees
Payer ID
68810
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
Sentry Insurance Company Employees 68810 837D
Sentry Insurance a Mutual Co.
Payer ID
C1033
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Sentry Insurance a Mutual Co. C1033 837P
Sentry Life Insurance Company
Payer ID
39033
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
Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number, you may contact Sentry Directly
Sentry Life Insurance Company 39033 837P
Sentry Life Insurance Company
Payer ID
39033
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
Claims must have the Sentry Life Insurance Co. Group and Subscriber Numbers. To verify you are using the correct number, you may contact Sentry Directly
Sentry Life Insurance Company 39033 837I
Sentry Select Insurance Company
Payer ID
J1417
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Sentry Select Insurance Company J1417 837P
Sentry Select Insurance Company
Payer ID
C1033
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
Hide note
View note
Hide note
Auto Only. At this time, only Professional (HCFA) claims are accepted.
Sentry Select Insurance Company C1033 837P
Seoul Medical Group
Payer ID
AMM07
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
Seoul Medical Group AMM07 837P
Seoul Medical Group
Payer ID
AMM07
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
Seoul Medical Group AMM07 837I
Sequoia Health 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
Sequoia Health IPA CAPMN 837P
Sequoia Health 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
Sequoia Health IPA CAPMN 837I
Sequoia Health 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.
Sequoia Health IPA CAPMN 835
Serendib Healthways
Payer ID
4YC01
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
Serendib Healthways 4YC01 837P
Serendib Healthways
Payer ID
4YC01
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
Serendib Healthways 4YC01 837I
Service Lloyds Insurance Co
Payer ID
J1593
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Service Lloyds Insurance Co J1593 837P
Seton Charity Plan
Payer ID
SCHAR
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
Seton Charity Plan SCHAR 837P
Seton Charity Plan
Payer ID
SCHAR
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
Seton Charity Plan SCHAR 837I
Seton Health Plan (Employee Plans ONLY)
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
For claims with DOS on or after 1/1/2014.
Seton Health Plan (Employee Plans ONLY) 62308 837P
Seton Health Plan (Employee Plans ONLY)
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
For claims with DOS on or after 1/1/2014.
Seton Health Plan (Employee Plans ONLY) 62308 837I
Seton Health Plan (Employee Plans ONLY)
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
For claims with DOS on or after 1/1/2014.
Seton Health Plan (Employee Plans ONLY) 62308 837D
