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.
NOTICE: The Payer List page is currently unavailable due to scheduled maintanance
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
State Health Plan of North Carolina
Payer ID
SB810
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State Health Plan of North Carolina SB810 837P
State Health Plan of North Carolina
Payer ID
SB810
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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(Same form as BCBS North Carolina).
State Health Plan of North Carolina SB810 835
State Health Plan of SC
Payer ID
00400
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State Health Plan of SC 00400 837P
State Mutual
Payer ID
STATE-MUTUAL
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State Mutual STATE-MUTUAL 270 / 271
State Of Tennessee - CORVEL
Payer ID
J2267
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
State Of Tennessee - CORVEL J2267 837P
State Office of Risk Management
Payer ID
J1418
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
State Office of Risk Management J1418 837P
State of Idaho
Payer ID
12113
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State of Idaho 12113 837P
State of Idaho
Payer ID
12113
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State of Idaho 12113 837I
State of Idaho Women's Health Check
Payer ID
IDWH1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State of Idaho Women's Health Check IDWH1 837P
State of Idaho Women's Health Check
Payer ID
IDWH1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State of Idaho Women's Health Check IDWH1 837I
State of Minnesota - DOER
Payer ID
J1555
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
State of Minnesota - DOER J1555 837P
State of North Carolina - CORVEL
Payer ID
J1659
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
State of North Carolina - CORVEL J1659 837P
State of Texas Dental Plan (GEHA)
Payer ID
57254
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State of Texas Dental Plan (GEHA) 57254 837I
State of Texas Dental Plan (GEHA)
Payer ID
57254
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State of Texas Dental Plan (GEHA) 57254 837P
State of Texas Dental Plan (GEHA)
Payer ID
57254
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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State of Texas Dental Plan (GEHA) 57254 835
Statewide Insurance Fund
Payer ID
J3937
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Statewide Insurance Fund J3937 837P
State Mutual - LS Medicare Supplement
Payer ID
95723
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA only payer - IAS Admin Payer.
State Mutual - LS Medicare Supplement 95723 835
State Mutual - SMMS Medicare Supplement
Payer ID
95722
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA only payer - IAS Admin Payer.
State Mutual - SMMS Medicare Supplement 95722 835
Staywell Guam
Payer ID
STAYGUAM
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Staywell Guam STAYGUAM 270 / 271
Staywell Health Plan
Payer ID
14163
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Staywell Health Plan 14163 837I
Staywell Health Plan
Payer ID
14163
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Staywell Health Plan 14163 837P
Staywell Health Plan
Payer ID
14163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Staywell Health Plan 14163 835
Staywell Health Plan
Payer ID
STAYWELL
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Staywell Health Plan STAYWELL 270 / 271
Staywell Health Plan Kids
Payer ID
STAYWELL-KIDS
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Staywell Health Plan Kids STAYWELL-KIDS 270 / 271
Sterling Medicare Advantage
Payer ID
67829
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sterling Medicare Advantage 67829 837I
Sterling Medicare Advantage
Payer ID
67829
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sterling Medicare Advantage 67829 837P
Sterling Option One
Payer ID
91151
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sterling Option One 91151 837P
Sterling Option One
Payer ID
91151
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Sterling Option One 91151 837I
Stirling Benefits
Payer ID
06089
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Stirling Benefits 06089 837P
Stone Trust
Payer ID
J2213
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Stone Trust J2213 837P
Stonebridge Life Insurance Company
Payer ID
TRANSAM-STONE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Stonebridge Life Insurance Company TRANSAM-STONE 270 / 271
Streamline Imaging
Payer ID
J4481
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Streamline Imaging J4481 837P
Student Resources (UnitedHealthcare)
Payer ID
74227
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Student Resources (UnitedHealthcare) 74227 837P
Student Resources (UnitedHealthcare)
Payer ID
74227
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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EFT enrollment is required in order to activate ERAs.
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Style Crest Enterprise J3880 837P
Sulphur Bluff ISD
Payer ID
J3952
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Sulphur Bluff ISD J3952 837P
Summacare Health Plan (HMO)
Payer ID
95202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summacare Health Plan (HMO) 95202 835
Summacare Health Plan (HMO)
Payer ID
95202
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summacare Health Plan (HMO) 95202 837P
Summacare Health Plan (HMO)
Payer ID
95202
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summacare Health Plan (HMO) 95202 837I
Summacare Health Plan (HMO)
Payer ID
SUMMA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Summacare Health Plan (HMO) SUMMA 270 / 271
Summit Administration Services, Inc.
Payer ID
86083
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summit Administration Services, Inc. 86083 837P
Summit Administration Services, Inc.
Payer ID
86083
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summit Administration Services, Inc. 86083 837I
Summit Administration Services, Inc.
Payer ID
86083
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summit Administration Services, Inc. 86083 835
Summit Community Care
Payer ID
PASSE
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summit Community Care PASSE 837P
Summit Community Care
Payer ID
PASSE
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summit Community Care PASSE 837I
Summit Community Care
Payer ID
PASSE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summit Community Care PASSE 835
Summit Community Care
Payer ID
SUMMIT-COMM
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Summit Community Care SUMMIT-COMM 270 / 271
Summit Holdings
Payer ID
J1437
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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View note
Hide note
Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.
Summit Holdings J1437 837P
Sun Life Financial (United Concordia)
Payer ID
89070
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Sun Life Financial (United Concordia) 89070 835
Sun Life Financial (United Concordia)
Payer ID
89070
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Sun Life Financial (United Concordia) 89070 837D
Sun Mar Healthcare - CORVEL
Payer ID
J1610
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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View note
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Sun Mar Healthcare - CORVEL J1610 837P
Sunflower State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Sunflower State (Centene) 68069 837I
Sunflower State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Sunflower State (Centene) 68069 837P
Sunflower State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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ERA enrollment forms will be listed under Centene Corporation.
Sunflower State (Centene) 68069 835
Sunflower State (Centene)
Payer ID
SUNFLOWER
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sunflower State (Centene) SUNFLOWER 270 / 271
Sunflower State (Centene)
Payer ID
SUNFLOWER
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Sunflower State (Centene) SUNFLOWER 276 / 277
Sunshine State Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Sunshine State Health Plan (Centene) 68069 837P
Sunshine State Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Sunshine State Health Plan (Centene) 68069 837I
Sunshine State Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
Sunshine State Health Plan (Centene) 68069 835
Sunshine State Health Plan (Centene)
Payer ID
SUNSHINE
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sunshine State Health Plan (Centene) SUNSHINE 276 / 277
Sunshine State Health Plan (Centene)
Payer ID
SUNSHINE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sunshine State Health Plan (Centene) SUNSHINE 270 / 271
Superior Choice Medical Group
Payer ID
SCPR1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Effective for DOS 1/1/2020.
Superior Choice Medical Group SCPR1 837P
Superior Choice Medical Group
Payer ID
SCPR1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Effective for DOS 1/1/2020.
Superior Choice Medical Group SCPR1 837I
Superior Dental Care
Payer ID
31117
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Superior Dental Care 31117 837D
Superior Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Superior Health Plan (Centene) 68069 837P
Superior Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Superior Health Plan (Centene) 68069 837I
Superior Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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ERA enrollment forms will be listed under Centene Corporation.
Superior Health Plan (Centene) 68069 835
Superior Health Plan (Centene)
Payer ID
SUPERIOR
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Superior Health Plan (Centene) SUPERIOR 270 / 271
Superior Health Plan (Centene)
Payer ID
SUPERIOR
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Superior Health Plan (Centene) SUPERIOR 276 / 277
Superior Insurance Services
Payer ID
97802
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Superior Insurance Services 97802 837P
Superior Insurance Services
Payer ID
97802
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Superior Insurance Services 97802 837I
Superior Point
Payer ID
J1553
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Covers all states except CA.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Superior Point J1553 837P
SureGo Administrative Services LLC
Payer ID
89207
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SureGo Administrative Services LLC 89207 837I
SureGo Administrative Services LLC
Payer ID
89207
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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SureGo Administrative Services LLC 89207 837P
Surest Health Plan
Payer ID
25463
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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formerly known as Bind
Surest Health Plan 25463 835
Surest Health Plan
Payer ID
25463
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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formerly known as Bind
Surest Health Plan 25463 837I
Surest Health Plan
Payer ID
25463
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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formerly known as Bind
Surest Health Plan 25463 837P
Surest Health Plan
Payer ID
SUREST-HP
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Surest Health Plan SUREST-HP 270 / 271
Surgery One IPA
Payer ID
SOIPA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Surgery One IPA SOIPA 837P
Sussex Insurance Company
Payer ID
J1829
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Sussex Insurance Company J1829 837P
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sutter Connect - East Bay Region Hospitals - B&T SC051 837P
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sutter Connect - East Bay Region Hospitals - B&T SC051 837I
Sutter Connect - East Bay Region Hospitals - B&T
Payer ID
SC051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sutter Connect - East Bay Region Hospitals - B&T SC051 835
Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sutter Connect - Palo Alto Medical Foundation SC050 837P
Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sutter Connect - Palo Alto Medical Foundation SC050 835
Sutter Connect - Palo Alto Medical Foundation
Payer ID
SC050
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sutter Connect - Palo Alto Medical Foundation SC050 837I
Sutter Connect - Solano Regional Medical Foundation (SRMF)
Payer ID
SC016
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Claims/Encounters
Sutter Connect - Solano Regional Medical Foundation (SRMF) SC016 837P
Sutter Connect - Sutter Delta Medical Group
Payer ID
SC018
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Sutter Connect - Sutter Delta Medical Group SC018 837P
Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Claims/Encounters
Sutter Connect - Sutter Gould Medical Foundation (SGMF) SC003 835
Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Claims/Encounters
Sutter Connect - Sutter Gould Medical Foundation (SGMF) SC003 837P
Sutter Connect - Sutter Gould Medical Foundation (SGMF)
Payer ID
SC003
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Claims/Encounters
Sutter Connect - Sutter Gould Medical Foundation (SGMF) SC003 837I
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 835
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 837P
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 837I
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 835
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 837P
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 837I
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