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
TriWest Healthcare Alliance
Payer ID
VAC45
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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Region 4 & 5 States: American Samoa, Arizona, California, Colorado, Guam, Hawaii, Idaho, Montana, New Mexico, Nevada, Northern Mariana Islands, Oregon, Texas, Utah, Washington, Wyoming
TriWest Healthcare Alliance VAC45 837I
TriWest Healthcare Alliance
Payer ID
VAC45
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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Region 4 & 5 States: American Samoa, Arizona, California, Colorado, Guam, Hawaii, Idaho, Montana, New Mexico, Nevada, Northern Mariana Islands, Oregon, Texas, Utah, Washington, Wyoming
TriWest Healthcare Alliance VAC45 835
Triad Group LLC
Payer ID
J4229
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.
Triad Group LLC J4229 837P
Triangle Insurance
Payer ID
J1996
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.
Triangle Insurance J1996 837P
Tribado
Payer ID
32691
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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Tribado 32691 837P
Tribado
Payer ID
32691
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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Tribado 32691 837I
Tribute Health Plan of Arkansas
Payer ID
31118
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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Oklahoma claims should now be sent under Payer ID 31125.
Tribute Health Plan of Arkansas 31118 837P
Tribute Health Plan of Arkansas
Payer ID
31118
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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Oklahoma claims should now be sent under Payer ID 31125.
Tribute Health Plan of Arkansas 31118 837I
Tribute Health Plan of Oklahoma
Payer ID
31125
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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Tribute Health Plan of Oklahoma 31125 837P
Tribute Health Plan of Oklahoma
Payer ID
31125
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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Tribute Health Plan of Oklahoma 31125 837I
Tribute Health Plan of Oklahoma
Payer ID
31125
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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Tribute Health Plan of Oklahoma 31125 835
Tricare Active Reservists
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
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Tricare Active Reservists 73288 837D
Tricare Champus
Payer ID
TRICARE-CHAMPUS
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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Tricare Champus TRICARE-CHAMPUS 270 / 271
Tricare East
Payer ID
TREST
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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Effective 1/1/18.
Tricare East TREST 837P
Tricare East
Payer ID
TREST
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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Effective 1/1/18.
Tricare East TREST 837I
Tricare East
Payer ID
TREST
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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Effective 1/1/25, ERA Enrollment will only be completed through PGBA & no longer be accepted through WPS.
Tricare East TREST 835
Tricare East
Payer ID
13590
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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Tricare East 13590 270 / 271
Tricare East PGBA
Payer ID
99727
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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Tricare East PGBA 99727 837P
Tricare East PGBA
Payer ID
99727
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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Tricare East PGBA 99727 837I
Tricare East PGBA
Payer ID
99727
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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Tricare East PGBA 99727 835
Tricare Overseas
Payer ID
FOREN
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.
Tricare Overseas FOREN 837P
Tricare Overseas
Payer ID
FOREN
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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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Tricare Overseas FOREN 835
Tricare Overseas
Payer ID
12810
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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Tricare Overseas 12810 270 / 271
Tricare West
Payer ID
99726
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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Coverage: AK, AZ, CA, CO, HI, ID, IA (Except for the Rock Island Arsenal Area), KS, MN, MO, MT NE, NV, NM, ND, OR, SD, West TX, UT, WA.
Tricare West 99726 837P
Tricare West
Payer ID
99726
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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Coverage: AK, AZ, CA, CO, HI, ID, IA (Except for the Rock Island Arsenal Area), KS, MN, MO, MT NE, NV, NM, ND, OR, SD, West TX, UT, WA.
Tricare West 99726 837I
Tricare West
Payer ID
99726
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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Coverage: AK, AZ, CA, CO, HI, ID, IA (Except for the Rock Island Arsenal Area), KS, MN, MO, MT NE, NV, NM, ND, OR, SD, West TX, UT, WA.
Tricare West 99726 835
Tricare West
Payer ID
10747
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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Tricare West 10747 270 / 271
Tricare for Life
Payer ID
12807
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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Tricare for Life 12807 270 / 271
Trigon Blue Cross Blue Shield of Colorado
Payer ID
84103
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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Trigon Blue Cross Blue Shield of Colorado 84103 837D
Trigon Blue Cross Blue Shield of Virginia
Payer ID
84103
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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BCBS provider number required on the claim
Trigon Blue Cross Blue Shield of Virginia 84103 837D
Trigon Insurance Company
Payer ID
84103
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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Trigon Insurance Company 84103 837D
Trillium Community Health Plan (Centene)
Payer ID
TRILLIUM
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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Trillium Community Health Plan (Centene) TRILLIUM 270 / 271
Trillium Community Health Plans
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
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Trillium Community Health Plans 68069 837P
Trillium Community Health Plans
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
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Trillium Community Health Plans 68069 837I
Trillium Community Health Plans
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
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ERA enrollment forms will be listed under Centene Corporation.
Trillium Community Health Plans 68069 835
Trillium Health Resources
Payer ID
56089
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 East Carolina Behavioral Health.
Trillium Health Resources 56089 837P
Trillium Health Resources
Payer ID
56089
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 East Carolina Behavioral Health.
Trillium Health Resources 56089 837I
Trillium Health Resources
Payer ID
56089
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 East Carolina Behavioral Health. Remits are returned under payer ID 43071.
Trillium Health Resources 56089 835
Trillium Staffing Solutions
Payer ID
J1674
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.
Trillium Staffing Solutions J1674 837P
Trilogy Network
Payer ID
62777
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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Trilogy Network 62777 837P
Trilogy Network
Payer ID
62777
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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Trilogy Network 62777 837I
Trinity Universal Insurance Company
Payer ID
C1030
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.
Trinity Universal Insurance Company C1030 837P
Triple-S Advantage
Payer ID
973MA
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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Triple-S Advantage 973MA 837P
Triple-S Advantage
Payer ID
973MA
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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Triple-S Advantage 973MA 837I
Triple-S Advantage
Payer ID
973MA
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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Triple-S Advantage 973MA 835
Triple-S Advantage
Payer ID
TRIPS-ADV
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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Payer Enrollment Required
Triple-S Advantage TRIPS-ADV 270 / 271
Triple-S Salud
Payer ID
SB980
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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Triple-S Salud SB980 837P
Triple-S Salud
Payer ID
SB980
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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Triple-S Salud SB980 835
Tristar Risk Management
Payer ID
41556
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.
Tristar Risk Management 41556 837P
Troy Medicare
Payer ID
TRYMC
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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Troy Medicare TRYMC 837P
Troy Medicare
Payer ID
TRYMC
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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Troy Medicare TRYMC 837I
TruAssure Dental
Payer ID
ILDTA
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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TruAssure Dental ILDTA 837D
Truli for Health
Payer ID
TRULI
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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Truli for Health TRULI 837P
Truli for Health
Payer ID
TRULI
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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Truli for Health TRULI 837I
Truli for Health
Payer ID
TRULI
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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Truli for Health TRULI 835
Truli for Health
Payer ID
TRULI
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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Truli for Health TRULI 270 / 271
Trustee Plans (FCHN)
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
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Trustee Plans (FCHN) 91131 837P
Trustee Plans (FCHN)
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
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Trustee Plans (FCHN) 91131 837I
Trusteed Insurance (FCHN)
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
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Trusteed Insurance (FCHN) 91131 837P
Trusteed Insurance (FCHN)
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
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Trusteed Insurance (FCHN) 91131 837I
Trusteed Plans Service Corporation
Payer ID
91078
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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Trusteed Plans Service Corporation 91078 837P
Trusteed Plans Service Corporation
Payer ID
91078
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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Trusteed Plans Service Corporation 91078 837I
Trusteed Plans Service Corporation
Payer ID
91078
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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Trusteed Plans Service Corporation 91078 835
Trustmark Insurance Company
Payer ID
61425
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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Trustmark Insurance Company 61425 837P
Trustmark Insurance Company
Payer ID
61425
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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Trustmark Insurance Company 61425 837I
Trustmark Insurance Company
Payer ID
61425
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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Trustmark Insurance Company 61425 835
Trustmark Insurance Company
Payer ID
TRSTMRKIC
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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Trustmark Insurance Company TRSTMRKIC 270 / 271
Tufts Health Plan
Payer ID
04298
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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Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.
Tufts Health Plan 04298 837P
Tufts Health Plan
Payer ID
04298
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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Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.
Tufts Health Plan 04298 837I
Tufts Health Plan
Payer ID
04298
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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Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.
Tufts Health Plan 04298 835
Tufts Health Plan
Payer ID
13568
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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Tufts Health Plan 13568 270 / 271
Tufts Health Public Plan (Network Health)
Payer ID
04332
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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Tufts Health Public Plan (Network Health) 04332 837P
Tufts Health Public Plan (Network Health)
Payer ID
04332
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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Tufts Health Public Plan (Network Health) 04332 837I
Tufts Health Public Plan (Network Health)
Payer ID
04332
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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Tufts Health Public Plan (Network Health) 04332 835
Tufts Health Public Plan (Network Health)
Payer ID
NETHLTH
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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Tufts Health Public Plan (Network Health) NETHLTH 270 / 271
Twin City Fire Insurance Co.
Payer ID
C1040
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.
Twin City Fire Insurance Co. C1040 837P
Tyson Foods Inc.
Payer ID
J1732
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.
Tyson Foods Inc. J1732 837P
UC Davis Health System
Payer ID
UCDMG
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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UC Davis Health System UCDMG 837P
UC Davis Health System
Payer ID
UCDMG
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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UC Davis Health System UCDMG 837I
UC Davis Health System
Payer ID
UCDMG
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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Payer returns ERAs automatically - UPON ELECTRONIC CLAIM SUBMISSION VIA OFFICE ALLY only
UC Davis Health System UCDMG 835
UC Health Plan Administrators
Payer ID
89789
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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PO Box 21036 Eagan MN 55121
UC Health Plan Administrators 89789 837P
UC Health Plan Administrators
Payer ID
89789
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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PO Box 21036 Eagan MN 55121
UC Health Plan Administrators 89789 837I
UC Irvine
Payer ID
UCI01
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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Effective for Dates of service 8/1/2019
UC Irvine UCI01 837P
UC Irvine
Payer ID
UCI01
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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Effective for Dates of service 8/1/2019
UC Irvine UCI01 837I
UC Irvine Health (MemorialCare)
Payer ID
MMFUC
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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The ERA enrollment form will be listed under "MemorialCare".
UC Irvine Health (MemorialCare) MMFUC 837P
UC Irvine Health (MemorialCare)
Payer ID
MMFUC
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 ERA enrollment form will be listed under "MemorialCare".
UC Irvine Health (MemorialCare) MMFUC 837I
UC Irvine Health (MemorialCare)
Payer ID
MMFUC
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 ERA enrollment form will be listed under "MemorialCare".
UC Irvine Health (MemorialCare) MMFUC 835
UCLA Health Medicare Advantage Plan
Payer ID
28189
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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UCLA Health Medicare Advantage Plan 28189 837P
UCLA Health Medicare Advantage Plan
Payer ID
28189
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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UCLA Health Medicare Advantage Plan 28189 837I
UCLA Medical Group
Payer ID
USMBP
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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Payer returns ERAs automatically once electronic claim submission begins.
UCLA Medical Group USMBP 837P
UCLA Medical Group
Payer ID
USMBP
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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Payer returns ERAs automatically once electronic claim submission begins.
UCLA Medical Group USMBP 837I
UCLA Medical Group
Payer ID
USMBP
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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Payer returns ERAs automatically once electronic claim submission begins. Note: Payer does not return 835s for claims submitted by paper.
UCLA Medical Group USMBP 835
UCS (BASI: Air Design Heating & Cooling)
Payer ID
18763
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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UCS (BASI: Air Design Heating & Cooling) 18763 837P
UCS (BASI: Air Design Heating & Cooling)
Payer ID
18763
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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UCS (BASI: Air Design Heating & Cooling) 18763 837I
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