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
Transamerica Premier Life Insurance Company
Payer ID
TRANSAM-PRE
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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Transamerica Premier Life Insurance Company TRANSAM-PRE 270 / 271
Provider enrollment is required, meaning a PGBA agreement must be on file. If already enrolled with PGBA for TRICARE, no new VACCN EDI enrollment is required.
TriWest Healthcare Alliance VAC45 837P
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
WC / Auto
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Provider enrollment is required, meaning a PGBA agreement must be on file. If already enrolled with PGBA for TRICARE, no new VACCN EDI enrollment is required.
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
WC / Auto
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Provider enrollment is required, meaning a PGBA agreement must be on file. If already enrolled with PGBA for TRICARE, no new VACCN EDI enrollment is required.
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
WC / Auto
Work Comp
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Triad Group LLC J4229 837P
Triad Group LLC
Payer ID
J4229
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
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Payer returns ERA automatically. No enrollment required.
Triad Group LLC J4229 835
Triangle Insurance
Payer ID
J1996
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. At this time, only Professional (HCFA) claims are accepted.
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
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
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
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
WC / Auto
View note
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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
WC / Auto
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For all Dates of Service (DOS). Payer returns ERA's automatically once electronic claim submission begins.
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
WC / Auto
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For all Dates of Service (DOS). Payer returns ERA's automatically once electronic claim submission begins.
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
WC / Auto
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For all Dates of Service (DOS). Payer returns ERA's automatically once electronic claim submission begins.
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
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
WC / Auto
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Tricare Champus TRICARE-CHAMPUS 270 / 271
Tricare East
Payer ID
13590
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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Tricare East 13590 270 / 271
Tricare Overseas
Payer ID
FOREN
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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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
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
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
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
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
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
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
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
WC / Auto
View note
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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
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
WC / Auto
View note
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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
WC / Auto
View note
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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
WC / Auto
View note
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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
WC / Auto
View note
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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
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
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
WC / Auto
View note
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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
WC / Auto
View note
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Formerly East Carolina Behavioral Health.
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
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
Work Comp
View note
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View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
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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
WC / Auto
View note
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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
WC / Auto
View note
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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
WC / Auto
View note
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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
WC / Auto
Work Comp
View note
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View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.