Office Ally may, at its sole option, add or remove Payers to the Services at any time. Office ally will use commercially reasonable efforts to provide Customer with written notice of such removals.
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
WC / Auto
NOTES
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
WC / Auto
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Sutter East Bay Medical Foundation SC020 835
Sutter Health
Payer ID
J1512
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
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Workers Comp Only.
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
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
WC / Auto
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Sutter Select SUTTERSLCT 270 / 271
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
WC / Auto
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Sutter Senior Care SC028 837P
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
WC / Auto
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Sutter Senior Care SC028 837I
Sutter Senior Care
Payer ID
SC028
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Sutter Senior Care SC028 835
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
WC / Auto
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Sutter and Aetna Insurance Company SUTT-AETNA 270 / 271
Swedish Covenant Hospital
Payer ID
36411
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Swedish Covenant Hospital 36411 837P
Swedish Covenant Hospital
Payer ID
36411
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Swedish Covenant Hospital 36411 837I
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
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
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
WC / Auto
Work Comp & Auto
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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.
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
WC / Auto
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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
WC / Auto
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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
WC / Auto
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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
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
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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TennCare Select/ BlueCare 00890 837P
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
WC / Auto
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TennCare Select/ BlueCare 00890 837I
TennCare Select/ BlueCare
Payer ID
00890
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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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
Tervist
Payer ID
IHS08
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Tervist IHS08 837P
Tervist
Payer ID
IHS08
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Tervist IHS08 837I
Texan Plus
Payer ID
60601
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Texan Plus 60601 837D
TexanPlus of Texas (Houston)
Payer ID
HPN11
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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TexanPlus of Texas (Houston) HPN11 837P
TexanPlus of Texas (Houston)
Payer ID
HPN11
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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TexanPlus of Texas (Houston) HPN11 837I
TexanPlus of Texas (Kelsey-Seybold)
Payer ID
KLSY1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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TexanPlus of Texas (Kelsey-Seybold) KLSY1 837P
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
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.