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
Unity Health Insurance
Payer ID
66705
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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ERA enrollment must be completed under Quartz.
Unity Health Insurance 66705 837I
Unity Health Insurance
Payer ID
66705
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 must be completed under Quartz.
Unity Health Insurance 66705 835
Unity Health Insurance
Payer ID
UNITY
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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Unity Health Insurance UNITY 270 / 271
Unity Health Partners
Payer ID
A1152
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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Unity Health Partners A1152 837P
Univera
Payer ID
UNIVERA
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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Univera UNIVERA 270 / 271
Univera Healthcare (Excellus)
Payer ID
16107
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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Univera Healthcare (Excellus) 16107 837P
Univera Healthcare (Excellus)
Payer ID
16107
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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Univera Healthcare (Excellus) 16107 837I
Univera Healthcare (Excellus)
Payer ID
16107
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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Univera Healthcare (Excellus) 16107 835
Univera PPO (Excellus)
Payer ID
UNINW
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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Univera PPO (Excellus) UNINW 837P
Univera PPO (Excellus)
Payer ID
UNINW
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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Univera PPO (Excellus) UNINW 837I
Univera PPO (Excellus)
Payer ID
UNINW
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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Univera PPO (Excellus) UNINW 835
Universal American
Payer ID
UNIVAM
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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Universal American UNIVAM 270 / 271
Universal Benefits - Admin For Chubb Life Insurance Co
Payer ID
TRANSAM-CHUBB
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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Universal Benefits - Admin For Chubb Life Insurance Co TRANSAM-CHUBB 270 / 271
Universal Benefits - Admin For City Of Bridgeport CT
Payer ID
TRANSAM-BRIDGE
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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Universal Benefits - Admin For City Of Bridgeport CT TRANSAM-BRIDGE 270 / 271
Universal Care (FFS)
Payer ID
UC001
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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Universal Care (FFS) UC001 837P
Universal Care (FFS)
Payer ID
UC001
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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Universal Care (FFS) UC001 837I
Universal Care Encounters
Payer ID
UC002
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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Encounter submissions ONLY.
Universal Care Encounters UC002 837P
Universal Care Encounters
Payer ID
UC002
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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Encounter submissions ONLY.
Universal Care Encounters UC002 837I
Universal Fidelity Administrators Company - Aggregate
Payer ID
93222
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 1536, Duncan OK 73534
Universal Fidelity Administrators Company - Aggregate 93222 837I
Universal Fidelity Administrators Company - Aggregate
Payer ID
93222
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 1536, Duncan OK 73534
Universal Fidelity Administrators Company - Aggregate 93222 837P
Universal HealthCare IPA
Payer ID
UHIPA
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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Universal HealthCare IPA UHIPA 837P
Universal HealthCare IPA
Payer ID
UHIPA
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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Universal HealthCare IPA UHIPA 837I
University Care Advantage
Payer ID
09830
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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University Care Advantage 09830 837P
University Care Advantage
Payer ID
09830
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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University Care Advantage 09830 837I
University Care Advantage
Payer ID
09830
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
Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.
University Care Advantage 09830 835
University Family Care
Payer ID
09830
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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University Family Care 09830 837P
University Family Care
Payer ID
09830
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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University Family Care 09830 837I
University Family Care
Payer ID
09830
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
Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.
University Family Care 09830 835
University Health Alliance
Payer ID
UHA01
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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University Health Alliance UHA01 837P
University Health Alliance
Payer ID
UHA01
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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University Health Alliance UHA01 837I
University Health Alliance
Payer ID
UHA01
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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University Health Alliance UHA01 835
University Health Care Advantage
Payer ID
UNIV-HCA
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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University Health Care Advantage UNIV-HCA 270 / 271
University Healthcare Marketplace
Payer ID
45437
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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University Healthcare Marketplace 45437 837P
University Healthcare Marketplace
Payer ID
45437
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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University Healthcare Marketplace 45437 837I
University Physicians Healthcare Group
Payer ID
07503
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
Hide note
See University of Arizona Health Plans ERA enrollment form.
University Physicians Healthcare Group 07503 837P
University Physicians Healthcare Group
Payer ID
07503
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
See University of Arizona Health Plans ERA enrollment form.
University Physicians Healthcare Group 07503 835
University Physicians Healthcare Group (Arizona)
Payer ID
13168
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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University Physicians Healthcare Group (Arizona) 13168 270 / 271
University Texas Medical Board
Payer ID
UTMBC
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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University Texas Medical Board UTMBC 835
University Texas Medical Board
Payer ID
UTMBC
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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University Texas Medical Board UTMBC 837P
University Texas Medical Board
Payer ID
UTMBC
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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University Texas Medical Board UTMBC 837I
University Trust
Payer ID
COACC
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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University Trust COACC 837P
University of Illinois
Payer ID
UIC67
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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University of Illinois UIC67 837P
University of Illinois
Payer ID
UIC67
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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University of Illinois UIC67 837I
University of Illinois at Chicago Div of Specialized Care for Children
Payer ID
37601
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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University of Illinois at Chicago Div of Specialized Care for Children 37601 837P
University of Illinois at Chicago Div of Specialized Care for Children
Payer ID
37601
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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University of Illinois at Chicago Div of Specialized Care for Children 37601 837I
University of Kentucky Health Services - CORVEL
Payer ID
J1941
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.
University of Kentucky Health Services - CORVEL J1941 837P
University of Maryland Health Advantage
Payer ID
45282
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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University of Maryland Health Advantage 45282 837I
University of Maryland Health Advantage
Payer ID
45282
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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University of Maryland Health Advantage 45282 837P
University of Utah Health Plans
Payer ID
SX155
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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A UHIN pass through few applies to this transaction.
University of Utah Health Plans SX155 837P
University of Utah Health Plans
Payer ID
SX155
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
A UHIN pass through few applies to this transaction.
University of Utah Health Plans SX155 835
University of Utah Health Plans
Payer ID
SX155
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
A UHIN pass through few applies to this transaction.
University of Utah Health Plans SX155 837I
University of Utah Health Plans
Payer ID
UNIV-UTHP
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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View note
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University of Utah Health Plans UNIV-UTHP 270 / 271
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Utah Uninsured Employers Fund - CORVEL J3957 837P
Utica (Auto only)
Payer ID
C1027
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
View note
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Utica (Auto only) C1027 837P
Utica Mutual Insurance Co
Payer ID
25976
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. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Utica Mutual Insurance Co 25976 837P
Utica National Insurance Co of Texas
Payer ID
43478
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. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Utica National Insurance Co of Texas 43478 837P
VA Community Care Network Region 1
Payer ID
VACCN
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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For DOS on or after 7/29/2019. Coverage: CT, DE, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, WV, DC.
VA Community Care Network Region 1 VACCN 837P
VA Community Care Network Region 1
Payer ID
VACCN
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
Hide note
For DOS on or after 7/29/2019. Coverage: CT, DE, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, WV, DC.
VA Community Care Network Region 1 VACCN 837D
VA Community Care Network Region 1
Payer ID
VACCN
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
Hide note
For DOS on or after 7/29/2019. Coverage: CT, DE, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, WV, DC.
VA Community Care Network Region 1 VACCN 835
VA Community Care Network Region 1
Payer ID
VACCN
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
Hide note
For DOS on or after 7/29/2019. Coverage: CT, DE, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, WV, DC.
VA Community Care Network Region 1 VACCN 837I
VA Community Care Network Region 2
Payer ID
VACCN
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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For DOS on or After 10/8/2019. Coverage: ND, SD, NE, KS, MN, IA, MO, WI, IL,MI, IN, OH, KY.
VA Community Care Network Region 2 VACCN 837P
VA Community Care Network Region 2
Payer ID
VACCN
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
Hide note
For DOS on or After 10/8/2019. Coverage: ND, SD, NE, KS, MN, IA, MO, WI, IL,MI, IN, OH, KY.
VA Community Care Network Region 2 VACCN 837I
VA Community Care Network Region 2
Payer ID
VACCN
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
Hide note
For DOS on or After 10/8/2019. Coverage: ND, SD, NE, KS, MN, IA, MO, WI, IL,MI, IN, OH, KY.
VA Community Care Network Region 2 VACCN 835
VA Community Care Network Region 2
Payer ID
VACCN
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
Hide note
View note
Hide note
For DOS on or After 10/8/2019. Coverage: ND, SD, NE, KS, MN, IA, MO, WI, IL,MI, IN, OH, KY.
VA Community Care Network Region 2 VACCN 837D
VA Community Care Network Region 3
Payer ID
VACCN
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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For DOS on or after 1/08/2020. Coverage: FL, SC, GA, AL, TN,MS, LA, AR, OK
VA Community Care Network Region 3 VACCN 837P
VA Community Care Network Region 3
Payer ID
VACCN
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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For DOS on or after 1/08/2020. Coverage: FL, SC, GA, AL, TN,MS, LA, AR, OK
VA Community Care Network Region 3 VACCN 837I
VA Community Care Network Region 3
Payer ID
VACCN
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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For DOS on or after 1/08/2020. Coverage: FL, SC, GA, AL, TN,MS, LA, AR, OK
VA Community Care Network Region 3 VACCN 837D
VA Community Care Network Region 3
Payer ID
VACCN
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 DOS on or after 1/08/2020. Coverage: FL, SC, GA, AL, TN,MS, LA, AR, OK
VA Community Care Network Region 3 VACCN 835
VA Fee Basis Programs
Payer ID
10841
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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VA Fee Basis Programs 10841 276 / 277
VA Fee Basis Programs
Payer ID
12115
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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VA Fee Basis Programs 12115 837P
VA Fee Basis Programs
Payer ID
10841
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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VA Fee Basis Programs 10841 270 / 271
VA Fee Basis Programs
Payer ID
12115
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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VA Fee Basis Programs 12115 837I
VA Fee Basis Programs
Payer ID
12115
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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VA Fee Basis Programs 12115 835
VA Financial Services Center
Payer ID
VAFSC
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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VA Financial Services Center VAFSC 837I
VA Health Administration Center
Payer ID
VAHEALTH-ADMIN
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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VA Health Administration Center VAHEALTH-ADMIN 270 / 271
VALLEY PRESBYTERIAN HOSPITAL – HCLA
Payer ID
MPM53
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 April 2, 2021
VALLEY PRESBYTERIAN HOSPITAL – HCLA MPM53 837P
VALLEY PRESBYTERIAN HOSPITAL – HCLA
Payer ID
MPM53
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 April 2, 2021
VALLEY PRESBYTERIAN HOSPITAL – HCLA MPM53 837I
VGM Homelink
Payer ID
50701
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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VGM Homelink 50701 837P
VGM Homelink
Payer ID
50701
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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VGM Homelink 50701 835
VNA Homecare Options
Payer ID
31626
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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VNA Homecare Options 31626 837P
VNA Homecare Options
Payer ID
31626
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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VNA Homecare Options 31626 837I
VNS Choice (NY)
Payer ID
VNS-CHOICE
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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VNS Choice (NY) VNS-CHOICE 270 / 271
VNS Choice SelectCare
Payer ID
77073
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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VNS Choice SelectCare 77073 837P
VNS Choice SelectCare
Payer ID
77073
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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VNS Choice SelectCare 77073 835
VNS Choice SelectCare
Payer ID
77073
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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VNS Choice SelectCare 77073 837I
Vacorp
Payer ID
J3807
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.
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