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
South Country Health Alliance
Payer ID
81600
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
South Country Health Alliance 81600 837I
South Country Health Alliance
Payer ID
81600
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
South Country Health Alliance 81600 835
South Dakota Behavioral Health - STARS / State Funding
Payer ID
STARS
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
DSS Contract Number (12-digits [no spaces or dashes]) required in Box 19 (Loop 2300, NTE*ADD).
South Dakota Behavioral Health - STARS / State Funding STARS 837P
South Dakota DSS - STARS / State Funding
Payer ID
STARS
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
DSS Contract Number (12-digits [no spaces or dashes]) required in Box 19 (Loop 2300, NTE*ADD).
South Dakota DSS - STARS / State Funding STARS 837P
South Florida Community Care Network - SFCCN (Commercial)
Payer ID
59064
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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Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Commercial) 59064 837P
South Florida Community Care Network - SFCCN (Commercial)
Payer ID
59064
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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Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Commercial) 59064 837I
South Florida Community Care Network - SFCCN (Commercial)
Payer ID
59064
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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Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Commercial) 59064 835
South Florida Community Care Network - SFCCN (Medicaid)
Payer ID
59065
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
Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Medicaid) 59065 837P
South Florida Community Care Network - SFCCN (Medicaid)
Payer ID
59065
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
Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Medicaid) 59065 837I
South Florida Community Care Network - SFCCN (Medicaid)
Payer ID
59065
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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Now known as Community Care Plan (CCP).
South Florida Community Care Network - SFCCN (Medicaid) 59065 835
South Florida Musculo Skeletal Care (SFMSC)
Payer ID
06294
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
South Florida Musculo Skeletal Care (SFMSC) 06294 837P
South Plains School WC Program
Payer ID
J3951
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.
South Plains School WC Program J3951 837P
South Tahoe Refuse
Payer ID
28580
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
South Tahoe Refuse 28580 837P
South Tahoe Refuse
Payer ID
28580
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
South Tahoe Refuse 28580 837I
SouthCare/Healthcare Preferred
Payer ID
25147
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
SouthCare/Healthcare Preferred 25147 837P
Southeastern Indiana Health (SIHO)
Payer ID
77153
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
Southeastern Indiana Health (SIHO) 77153 837P
Southeastern Indiana Health (SIHO)
Payer ID
77153
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
Southeastern Indiana Health (SIHO) 77153 837I
Southeastern Indiana Health (SIHO)
Payer ID
77153
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
Southeastern Indiana Health (SIHO) 77153 835
Southeastern Indiana Health (SIHO)
Payer ID
SIHO
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
Southeastern Indiana Health (SIHO) SIHO 270 / 271
Southern Benefit Services
Payer ID
37318
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
Southern Benefit Services 37318 837P
Southern Benefit Services
Payer ID
37318
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
Southern Benefit Services 37318 837I
Southern California Children's Healthcare Network
Payer ID
ECMSO
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
Southern California Children's Healthcare Network ECMSO 837P
Southern California Children's Healthcare Network
Payer ID
ECMSO
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
Southern California Children's Healthcare Network ECMSO 837I
Southern California Dairy
Payer ID
BPA01
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
Southern California Dairy BPA01 837P
Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net
Payer ID
MPM20
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
Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net MPM20 837P
Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net
Payer ID
MPM20
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
Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net MPM20 837I
Southern California Lumber
Payer ID
BPA01
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
Southern California Lumber BPA01 837P
Southern California Oncology Associates (SCOA)
Payer ID
SCOA1
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
Southern California Oncology Associates (SCOA) SCOA1 837P
Southern California Oncology Associates (SCOA) - Encounters
Payer ID
SCOAE
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
Encounters only.
Southern California Oncology Associates (SCOA) - Encounters SCOAE 837P
Southern California Physicians Managed Care Services (SCPMCS)
Payer ID
SCP01
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
Southern California Physicians Managed Care Services (SCPMCS) SCP01 837P
Southern California Physicians Managed Care Services (SCPMCS)
Payer ID
SCP01
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
Southern California Physicians Managed Care Services (SCPMCS) SCP01 837I
Southern California UFCW Unions & Food Employers
Payer ID
SCUFW
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
Southern California, Cypress
Southern California UFCW Unions & Food Employers SCUFW 837P
Southern Illinois Healthcare Association
Payer ID
SIH99
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
Southern Illinois Healthcare Association SIH99 837P
Southern Mutual Insurance Company
Payer ID
J3876
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.
Southern Mutual Insurance Company J3876 837P
Southern Textile Recycling, Inc. (CA) - CORVEL
Payer ID
J1648
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.
Southern Textile Recycling, Inc. (CA) - CORVEL J1648 837P
Southland Advantage Medical Group, Inc.
Payer ID
HSM01
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
Southland Advantage Medical Group, Inc. HSM01 837P
Southland Advantage Medical Group, Inc.
Payer ID
HSM01
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
Southland Advantage Medical Group, Inc. HSM01 837I
Southland IPA
Payer ID
SIPA1
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
Southland IPA SIPA1 837P
Southland IPA
Payer ID
SIPA1
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
Southland IPA SIPA1 837I
Southland San Gabriel Valley Medical Group, Inc.
Payer ID
PHM11
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
Southland San Gabriel Valley Medical Group, Inc. PHM11 837P
Southwest Health Plan (Aetna HMO)
Payer ID
SOUTHWEST
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
Southwest Health Plan (Aetna HMO) SOUTHWEST 270 / 271
Southwest Key - CORVEL
Payer ID
J3745
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.
Southwest Key - CORVEL J3745 837P
Southwest MI Behavioral Health - Mental Health
Payer ID
A3268
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
Southwest MI Behavioral Health - Mental Health A3268 837P
Southwest MI Behavioral Health - Mental Health
Payer ID
A3268
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
Southwest MI Behavioral Health - Mental Health A3268 837I
Southwest MI Behavioral Health Substance Use Disorder
Payer ID
A4585
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
Southwest MI Behavioral Health Substance Use Disorder A4585 837P
Southwest MI Behavioral Health Substance Use Disorder
Payer ID
A4585
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
Southwest MI Behavioral Health Substance Use Disorder A4585 837I
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
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 ERAs automatically once electronic claim submission begins.
Southwest Oregon IPA (DOCS) DOCSO 837P
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
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 ERAs automatically once electronic claim submission begins.
Southwest Oregon IPA (DOCS) DOCSO 837I
Southwest Oregon IPA (DOCS)
Payer ID
DOCSO
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 once electronic claim submission begins.
Southwest Oregon IPA (DOCS) DOCSO 835
Southwest Service Administrators
Payer ID
CX100
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
Southwest Service Administrators CX100 837P
Southwest Service Administrators
Payer ID
CX100
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
Southwest Service Administrators CX100 837I
Southwest Service Life
Payer ID
37266
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
Southwest Service Life 37266 837P
Southwest Service Life
Payer ID
37266
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
Southwest Service Life 37266 837I
Southwestern Health Resources Clinically Integrated Network
Payer ID
RP085
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 Claim DOS after 12/31/22
Southwestern Health Resources Clinically Integrated Network RP085 837P
Southwestern Health Resources Clinically Integrated Network
Payer ID
RP085
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 Claim DOS after 12/31/22
Southwestern Health Resources Clinically Integrated Network RP085 837I
Space Exploration Technologies Corp - CORVEL
Payer ID
J1990
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.
Space Exploration Technologies Corp - CORVEL J1990 837P
Special Agents Mutual Benefit Association
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
Special Agents Mutual Benefit Association 62308 837P
Special Agents Mutual Benefit Association
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
Special Agents Mutual Benefit Association 62308 837I
Special Agents Mutual Benefit Association
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
Special Agents Mutual Benefit Association 62308 837D
Specialty Care Program
Payer ID
IHS17
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
Specialty Care Program IHS17 837P
Specialty Care Program
Payer ID
IHS17
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
Specialty Care Program IHS17 837I
Spectrum Health
Payer ID
SPECTRUM
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
Spectrum Health SPECTRUM 270 / 271
Spencer Stuart (ARM, LTD)
Payer ID
38416
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
Spencer Stuart (ARM, LTD) 38416 837P
Spencer Stuart (ARM, LTD)
Payer ID
38416
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
Spencer Stuart (ARM, LTD) 38416 837I
Spina Bifida - VA HAC
Payer ID
84146
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
Spina Bifida - VA HAC 84146 837P
Spina Bifida - VA HAC
Payer ID
84146
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
Spina Bifida - VA HAC 84146 837I
Spina Bifida - VA HAC
Payer ID
84146
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
Spina Bifida - VA HAC 84146 835
Spina Bifida - VA HAC
Payer ID
CHAMPVA-SB
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
Spina Bifida - VA HAC CHAMPVA-SB 270 / 271
Spohn Health
Payer ID
SPOHN
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
Spohn Health SPOHN 837P
Spohn Health
Payer ID
SPOHN
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
Spohn Health SPOHN 837I
Sprouts Farmers Market, Inc. - CORVEL
Payer ID
J1850
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.
Sprouts Farmers Market, Inc. - CORVEL J1850 837P
Spruce Grove Inc - CORVEL
Payer ID
J3749
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.
Spruce Grove Inc - CORVEL J3749 837P
St James PHO
Payer ID
11158
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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St James PHO 11158 837P
St James PHO
Payer ID
11158
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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St James PHO 11158 837I
St Mary's IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 837P
St Mary's IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 837I
St Mary's IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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ERA enrollment under Conifer Health Solutions.
St Mary's IPA CAPMN 835
St Vincent Medical Center (STVMC)
Payer ID
STVMC
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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St Vincent Medical Center (STVMC) STVMC 837P
St Vincent Medical Center (STVMC)
Payer ID
STVMC
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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St Vincent Medical Center (STVMC) STVMC 837I
St. Barnabas System Health Plan
Payer ID
22240
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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Barnabas Employee Health Plan claims with DOS 1/1/15 and after should be submitted to Horizon BCBS NJ, Payer ID 22099.
St. Barnabas System Health Plan 22240 837P
St. Francis IPA
Payer ID
APP01
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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St. Francis IPA APP01 837P
St. Francis IPA
Payer ID
APP01
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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St. Francis IPA APP01 837I
St. Francis IPA
Payer ID
APP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Please use the enrollment form located under Optum Care Network.
St. Francis IPA APP01 835
St. John's Claim Administration
Payer ID
37264
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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St. John's Claim Administration 37264 837P
St. John's Claim Administration
Payer ID
37264
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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St. John's Claim Administration 37264 837I
St. Johns Health Clinic
Payer ID
SJHC1
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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To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (818) 837-5686.
St. Johns Health Clinic SJHC1 837P
St. Johns Health Clinic
Payer ID
SJHC1
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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To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (818) 837-5686.