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
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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 – Non Sutter Groups SC052 837P
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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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Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 835
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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 – Non Sutter Groups SC052 837I
Sutter East Bay Medical Foundation
Payer ID
SC020
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 East Bay Medical Foundation SC020 835
Sutter East Bay Medical Foundation
Payer ID
SC020
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 East Bay Medical Foundation SC020 837P
Sutter East Bay Medical Foundation
Payer ID
SC020
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 East Bay Medical Foundation SC020 837I
Sutter Health
Payer ID
J1512
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.
Sutter Health J1512 837P
Sutter Health Plus
Payer ID
SUTTERHP
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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Sutter Health Plus SUTTERHP 270 / 271
Sutter Select
Payer ID
SUTTERSLCT
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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Sutter Select SUTTERSLCT 270 / 271
Sutter Senior Care
Payer ID
SC028
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 Senior Care SC028 835
Sutter Senior Care
Payer ID
SC028
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 Senior Care SC028 837I
Sutter Senior Care
Payer ID
SC028
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 Senior Care SC028 837P
Sutter and Aetna Insurance Company
Payer ID
SUTT-AETNA
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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Sutter and Aetna Insurance Company SUTT-AETNA 270 / 271
Swift Glass Corporation (UCS)
Payer ID
07040
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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Swift Glass Corporation (UCS) 07040 837P
Swift Glass Corporation (UCS)
Payer ID
07040
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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Swift Glass Corporation (UCS) 07040 837I
Syngenta Corporation
Payer ID
J1972
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.
Syngenta Corporation J1972 837P
T.H.E. Insurance - CORVEL
Payer ID
J1791
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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Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
THREE J3769 837P
TKFMC
Payer ID
TKFMC
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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TKFMC TKFMC 837I
TKFMC
Payer ID
TKFMC
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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TKFMC TKFMC 837P
TLC Advantage of Sioux Falls
Payer ID
TLC01
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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TLC Advantage of Sioux Falls TLC01 837P
TLC Advantage of Sioux Falls
Payer ID
TLC01
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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TLC Advantage of Sioux Falls TLC01 837I
TLC Benefit Solutions
Payer ID
TLC79
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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TLC Benefit Solutions TLC79 837P
TLC Benefit Solutions
Payer ID
TLC79
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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TLC Benefit Solutions TLC79 835
TLC Benefit Solutions
Payer ID
TLC79
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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TLC Benefit Solutions TLC79 837I
TMG Health Insurance
Payer ID
TMGHI
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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TMG Health Insurance TMGHI 270 / 271
TML IRP - Texas Municipal League - Intergovernmental
Payer ID
A0245
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.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
TML IRP - Texas Municipal League - Intergovernmental A0245 837P
TPHN - Verda
Payer ID
98603
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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TPHN - Verda 98603 837I
TPHN - Verda
Payer ID
98603
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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TPHN - Verda 98603 837P
TRIAD HEALTHCARE INC
Payer ID
39181
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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TRIAD HEALTHCARE INC 39181 837P
TRU Community Care
Payer ID
TRUCO
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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TRU Community Care TRUCO 837I
TRU Community Care
Payer ID
TRUCO
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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Hide note
Payer returns ERA automatically. No enrollment required.
TRU Community Care TRUCO 835
TRU Community Care
Payer ID
TRUCO
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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TRU Community Care TRUCO 837P
TRUSTMARK
Payer ID
TRUST
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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Dental Only
TRUSTMARK TRUST 270 / 271
TSRDP Dental Claims
Payer ID
73288
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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TSRDP Dental Claims 73288 837D
Tailored Brands Inc. - CORVEL
Payer ID
J3764
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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Hide note
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.
Tailored Brands Inc. - CORVEL J3764 837P
TakeCare Insurance Company
Payer ID
98022
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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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
TakeCare Insurance Company 98022 837P
TakeCare Insurance Company
Payer ID
98022
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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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
TakeCare Insurance Company 98022 837I
Tall Tree Administrators
Payer ID
88067
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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Tall Tree Administrators 88067 837P
Tall Tree Administrators
Payer ID
88067
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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Tall Tree Administrators 88067 837I
Tawa Services, Inc. - CORVEL
Payer ID
J3750
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
Hide note
View note
Hide note
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.
Tawa Services, Inc. - CORVEL J3750 837P
Taylor Benefit Resource
Payer ID
TAYLR
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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Taylor Benefit Resource TAYLR 837P
Taylor Benefit Resource
Payer ID
TAYLR
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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Taylor Benefit Resource TAYLR 835
Teal Premier
Payer ID
88300
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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Teal Premier 88300 837I
Teal Premier
Payer ID
88300
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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Teal Premier 88300 837P
Team Choice PNS
Payer ID
75133
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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Team Choice PNS 75133 837P
Team Choice PNS
Payer ID
75133
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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Team Choice PNS 75133 837I
Team Choice PNS
Payer ID
TEAM-CHOICE-PNS
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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Team Choice PNS TEAM-CHOICE-PNS 270 / 271
Teamcare
Payer ID
36215
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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Teamcare 36215 837P
Teamster Construction Industry Welfare Trust
Payer ID
TEAM-CIWFT
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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Teamster Construction Industry Welfare Trust TEAM-CIWFT 270 / 271
Teamsters Miscellaneous Security Trust Fund - Northwest Administrators
Payer ID
NWADM
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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Teamsters Miscellaneous Security Trust Fund - Northwest Administrators NWADM 837P
Teamsters Miscellaneous Security Trust Fund - Northwest Administrators
Payer ID
NWADM
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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Teamsters Miscellaneous Security Trust Fund - Northwest Administrators NWADM 837I
Teamsters Welfare Trust
Payer ID
91131
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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Teamsters Welfare Trust 91131 837P
Teamsters Welfare Trust
Payer ID
91131
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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Teamsters Welfare Trust 91131 837I
Tech-Steel, Inc
Payer ID
74234
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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Tech-Steel, Inc 74234 837P
Technology Insurance Co
Payer ID
J1855
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.
Technology Insurance Co J1855 837P
Telamon
Payer ID
22483
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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Telamon 22483 837P
Telamon
Payer ID
22483
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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Telamon 22483 837I
Temecula Valley Medical Group
Payer ID
HCMG1
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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Please contact the payer (951-791-1111) prior to submitting claims electronically.
Temecula Valley Medical Group HCMG1 837P
Temecula Valley Medical Group
Payer ID
HCMG1
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
Hide note
View note
Hide note
Please contact the payer (951-791-1111) prior to submitting claims electronically.
Temecula Valley Medical Group HCMG1 837I
TennCare Select/ BlueCare
Payer ID
00890
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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TennCare Select/ BlueCare 00890 837I
TennCare Select/ BlueCare
Payer ID
00890
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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TennCare Select/ BlueCare 00890 837P
TennCare Select/ BlueCare
Payer ID
00890
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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Enrollment Forms are the same as those for BCBS TN. Typically if enrolled with BCBS TN, the provider will not need to enroll for Medicaid TN/TennCare. Contact the payer directly to confirm if pre-enrollment is required.
TennCare Select/ BlueCare 00890 835
Texan Plus
Payer ID
60601
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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Texan Plus 60601 837D
Texas Association of School Boards
Payer ID
A0234
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.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Texas Association of School Boards A0234 837P
Texas Children's Health Plan
Payer ID
76048
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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Texas Children's Health Plan 76048 837I
Texas Children's Health Plan
Payer ID
76048
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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Texas Children's Health Plan 76048 837P
Texas Childrens Health Plan - Medicaid
Payer ID
75228
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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Texas Childrens Health Plan - Medicaid 75228 837P
Texas Childrens Health Plan - Medicaid
Payer ID
75228
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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Texas Childrens Health Plan - Medicaid 75228 837I
Texas Health Aetna
Payer ID
TXHEALTH-AETNA
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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Texas Health Aetna TXHEALTH-AETNA 270 / 271
Texas Healthspring
Payer ID
THS01
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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Texas Healthspring THS01 837P
Texas Healthspring
Payer ID
THS01
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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Texas Healthspring THS01 837I
Texas Hospital Insurance
Payer ID
J3869
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.
Texas Municipal League - Intergovernmental Risk Pool
Payer ID
A0245
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.
Texas Municipal League - Intergovernmental Risk Pool A0245 837P
Texas Mutual Insurance
Payer ID
22945
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.
Texas Mutual Insurance 22945 837P
Texas Roadhouse, Inc.
Payer ID
J1676
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.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Texas Roadhouse, Inc. J1676 837P
The Alliance
Payer ID
88461
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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ID cards should show mailing address of PO Box 44365, Madison, WI 53744.
The Alliance 88461 837P
The Alliance
Payer ID
THE-ALLIANCE
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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The Alliance THE-ALLIANCE 270 / 271
The Benefit Group, Inc.
Payer ID
TBGNE
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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11906 Arbor Street, Suite 100 Omaha, NE 68144
The Benefit Group, Inc. TBGNE 837P
The Benefit Group, Inc.
Payer ID
TBGNE
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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11906 Arbor Street, Suite 100 Omaha, NE 68144
The Benefit Group, Inc. TBGNE 837I
The Boon Group
Payer ID
BOONG
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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The Boon Group BOONG 835
The Boon Group
Payer ID
BOON
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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The Boon Group BOON 270 / 271
The CHP Group
Payer ID
CHP01
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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For RTS and RTE Office Allyis the designated clearinghouse for this payer.
The CHP Group CHP01 837P
The CHP Group
Payer ID
CHP01
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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For RTS and RTE Office Allyis the designated clearinghouse for this payer.
The CHP Group CHP01 835
The Care Network/The Savannah Business Group
Payer ID
68423
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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The Care Network/The Savannah Business Group 68423 837I
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