Related Articles: Payer Id Code List. trnsmt 2023 lineup. Let us show you with a personalized demonstration how APEX EDI can benefit your practice. 31147. Therabill Electronic Claims Payer List. Click the links below for detailed information on professional and facility payer ID codes: Professional Claims Payer IDs Facility Claims Payer IDs Claim Resolution Documents Blue Cross of Idaho ID IDBLC Y T Blue Cross of Illinois IL 00621 Y N Blue Cross of Kansas (835s returned under KSBLS) KS 57325 Y N Search by Payer Id Code or by State. Be sure to submit only the HealthSpring subscriber/member ID number found on the HealthSpring ID card . Click anywhere to close. If the insurance company you work with isnt on the list or if they are on the list, but dont provide the service you want, tell us about it. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Payer returns ERAs automatically once electronic claim submission begins. If you have questions regarding the current PNT Payer ID List or any other service offering, please contact our Support Team at (860) 257-2030 or email support@pntdata.com Last Updated: 2021-06-01 Tax ID required as a secondary identifier on claims in 2010AA or 2010AB. Greater New York: DDS01 32 BJ: 11198 32 Dental (formerly Paid Dental) . ID. Select a payer. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Payer List. COMMERCIAL. 6. Search for Payor Information. 42162. Legacy ID - For Providers, use their Facility/Office NPI. Payer ID 31053 is for State Farm - Health line of business. Below you will find a list of Payers that do require manual Enrollment. Novitas Contractor ID/Payer ID Codes. The payer id is 00710 when sent directly to Michigan BCBS. The accuracy of the information is in no way guaranteed. 1293. The 4 digit code starts with a 5 and the 5 digit code start with a 2 Tax ID & NPI required; Acclaims 64071 Par; COMMERCIAL Yes; No Claims; Y ACS Benefit Services Inc. 72468 Par; COMMERCIAL Yes; No Claims; Y Y; f.k.a . Request a Payer Information and All Payer Exchange's list of payers will be here. Privacy Policy | TTY: 877-715-6397. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Coventry Consolidated payer ID. These are also known as 835 files. You are responsible for verifying any information before relying on it. on this website. Obtaining Current Payer List: Recommended every 2-3 months 1. You can use this information to complete your EFT enrollment for Change Healthcare ePayment services. Electronic Payer ID for Claims printed and mailed to payer. Far more than a clearinghouse, Gateway EDI offers providers the powerful technology, intuitive tools and industry-leading customer service that improve the speed and accuracy with which your office operates. Electronic Billing EDI. We'll try to get them added. We will give you what you need with easy resources and quick links. Line of Business Payer Code Payer Name State Payer Type Enrollment Required Claims Enrollment Required Remits A green dot in the Claims column means EDI Enrollment is not required. 1-888-OHIOCOMP (10041) 1-888-OHIOCOMP (OHIO BWC) Electronic P I N 1st Auto & Casualty (MN Only) (Auto Only) (J1585A) Electronic Y 21st Century Insurance (All States) (WC Only) (41556W) 22125 Roscoe Corp. AAA Northern California, Nevada & Utah Insurance Exchange ABC Const. Direct submitter: Professional and Institutional 00430; Dental 47570 Using a . 1292. If you need help or have additional questions, please call 866.506.2830 (option 1) for personal assistance. Type: D=direct electronic connection to payer from BCBSM EDI, E=electronic transmission through clearinghouse . HealthSpring encourages electronic submission of all claims. GEC91853P EQUICOR EQUICOR - PPO Equitable Plan Services (Oklahoma City OK) GEC90533P . Payer Batch ID Office ID APWU Health Plan Illinois Medicaid 12K08 ILMCAID CKIL1 SKIL0 IPN - GBA Michigan Medicaid CKMI1 SKMI0 Michigan Medicaid Pending Eligibility Minnesota Medicaid 12K16 MNMCAID CKMN1 SKMN0 Neighborhood Health Partnership MDNHE New Mexico Medicaid 12K22 NMMCAID CKNM1 SKNM0 Student Insurance EMPSTI World Insurance Company . Only specific non-Legacy qualifiers allowed as . Community Health Electronic Claims/CHEC/webTPA: 75261 Community Health Plan of Washington: CHPWA CompBenefits: CX021 CompBenefits and Humana Specialty Benefits: CX021 Payer List. Schedule Demo. Click on eClaims Payer List and Payer List Changes For additional questions, please contact the eServices Support Team by using Live Chat, Help|Live Help, or calling 800-475-5036. Explore our connections Therefore, any ERA enrollment questions or issues . 1-888-OHIOCOMP (Ohio BWC) - Ohio Worker's Comp claims only. ). Our high-volume of direct connections help eliminate third-party errors and speed payment for providers in all 50 U.S. states, Puerto Rico and Guam.. . For an updated payer list, please visit our website at www.eaglesoft.net Page 3. eClaims Dental Payer List February 2010 St Payer ID Group # Open the file and type directly onto the form. Electronic Funds Transfer (EFT) Payer ID Grids Independence maintains multiple payer IDs to represent our different product lines. 2020 Eyecare: 2020E : None : 21st Century Insurance: 41556: None : 22125 Roscoe Corp. 41556: None : 32 BJ Health Fund: CX076 : . Our high-volume of direct connections help eliminate third-party errors and speed payment for providers in all 50 U.S. states, Puerto Rico and Guam. Payer ID valid only for claims with billing submission address of P.O. We can likely add them. Harrison Electrical Workers Trust Fund Benefit Plans, 1st Auto & Casualty (MN Only) (Auto Only) (J1585A), 21st Century Insurance (All States) (WC Only) (41556W), A & I Benefit Plan Administrators (93044), A Plus Staffing (ALL States) (WC Only) (A0280W), A W Holdings LLC Dba Benchmark (CT FL GA IN MD MI MO NJ NM TN) (Auto Only) (J1976A), AAA Automobile (Auto Only) (MN Only) (WC188A), AAA Triple A (MN Only) (Auto Only) (11983A), AARP Medicare Supplement by UnitedHealthcare (36273), Acadia Insurance Company (All States) (WC Only) (J1477), Accident Fund Insurance Co of America (All States) (WC Only) (J1790W), Accident Fund Insurance of America (J1790), Accountable Care Management Group, LLC (45328), Accuride Corporation (All States) (WC Only) (WC528W), Ace Property & Casualty Ins. Under the Search by Keyword field type 2453 3. Electronic: P I: Y: 3-HAB (All States) (WC Only) (J3979) Electronic: P I: Y: 3P Administrators (20413) Electronic: P I: N: 6 Degrees Health Inc (20446) Paper: N: 729 Demo Payer (88888) Paper: E: N: A & I Benefit Plan Administrators . Harrington Inc (Colombus, OH) . This covers the payer id 32002 noted on Emdeons payer list. Payer ID Claim Office # Type Name Address. Our high-volume of direct connections help eliminate third-party errors and speed payment for providers in all 50 U.S. states, Puerto Rico and Guam. Benefit from thousands of electronic payer connections to streamline your claims processing and increase accuracy. Payer: Per the payer list www.esolutionsinc.com 2020-08-18 . You can search by payer ID or Payer Name for payers that accept electronic claims and attachments, or that provide electronic insurance eligibility verification. You can search by payor ID or Payor Name for payers that accept electronic claims and attachments, or that provide electronic insurance eligibility verification. 2022 Cognizant. Community Health Electronic Claims/CHEC/webTPA 75261 Y N Comp - Ohio (Austintown, OH) 34177 Y N Companion Life 77828 Y Y . Payer List 8,000+ payer connections can save time and money Benefit from thousands of electronic payer connections to streamline your claims processing and increase accuracy. By Payer Id, every provider and insurance company or payer systems connect electronically with each other. IVR: 877-288-7600. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Eclaims.com makes no warranty to the accuracy, completeness or You can search by payor ID or Payor Name for payers that accept electronic claims and attachments, or that provide electronic insurance eligibility verification. Provider Contact Center: 888-355-9165. Schedule a Demo Access Santa Monica (Access Medical Group) AMG02 : None : Former Payer ID AMM06 : Accident Fund Insurance Co of . Search EDI / ERA Enrollment Forms. Company Medicare Supplement (Remits Only) (Z96821), ACIG Insurance Company (Auto Only)(MN,TX Only) (19984A), ACIG Insurance Company (TX MN Only) (WC Only) (J1578), ACIG Insurance Company (TX MN Only)(Auto Only) (J1578A), ACIG Insurance Company (WC Only)(MN,TX Only) (19984W), ACM - Blue Shield of California (Home Infusion) (Z1244), ACM - TUFTS (Home Infusion & Specialty Pharmacy Medical Benefit) (Z1238), ACTIN Care Groups/Clifton Health Systems (24585), Active Care Inc (All States) (Auto Only) (J3840A), Active Care Inc (All States) (WC Only) (J3840), Acuity, A Mutual Insurance Company (ALL States)(WC Only) (J1240), Acuity, A Mutual Insurance Company (ALL States)(WC Only) (J1240W). EDI Services - Payer List. Our system integrates your clinic's appointment schedule with your billing process. Schedule Demo. Open in new window. Need an NPI? The payer search tool helps you identify the insurance companies you work with that offer electronic connectivity. Receive convenient and secure electronic healthcare claim payments from hundreds of payers on the InstaMed Integrated ERA/EFT Payer List. CLAIM SUPPORT CONTACT: 1-866-655-3755. Terms & Conditions, This is default text for notification bar, Workers Compensation, Auto and Personal Injury. Our goal is to provide an online EDI resource to facilitate all of your Healthcare EDI needs. Claims with a Date of Service on or after May 1 2014 will reject for ACK/RETURNED - Claim submitted to incorrect payer. Payer ID is for claims with Service Dates prior to May 1 2014. Search. Payer: PayerID: 1199 National Benefit Fund of NY (PO Box 1149) 13551 1199 S.E.I.U. Copyright 2022 Henry Schein One. PO BOX 37504 . Payer Lists Medical and Dental Insurance Payer List and Payer ID Below is a list of the insurance companies and payer ID to which Apex EDI sends claims electronically. Employee Benefit Plan Administration Inc. DentaQuest- Commercial Plans (Group and Indv. When you want Terraform to ignore changes between subsequent apply commands you can use the lifecycle ignore_changes meta-argument. In the mean time here are some quick links to their resources. BANKERS CLAIM SER. (Read more) Eclaims was developed out of a passion for Healthcare EDI. Just as your electronic claims (EDI) are routed through a clearinghouse, your ERAs are too. If you're using a clearinghouse, be sure to verify all payer IDs as they might request that you use a different payer ID than those listed here. Company Ace Property & Casualty Ins Co AG Facilities Operations, LLC OptumInsight Electronic Remittance Advice Payer List (ERA) (As of 10/25/2022) PAYER_NAME STATE PAYER_IDNROLLMEN Payer Type American Income Life Insurance Company (837I & P) ALL 60577 Y G . Wait until you receive approval from them before you can start submitting Claims using Apex Clearinghouse. Box . ERA Enrollment Instructions: Please save this document to your computer. Scheduling. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into . Support; Pay Bill; Join; Log In; Providers . Search. Apply through the National Plan and Provider Enumeration System (NPPES). A red dot in the Claims column means EDI Enrollment is required. Search. Clear All. 22384 Administrative Concepts (Wayne, PA) No CX098 Administrative D.C. No 1 Welfare Fund (Des Plaines, IL) No CX076 Administrative Services Only (PO Box 9005,9007,9010 Ly No 93524 Advantage Dental Plan - Roseburg, OR No 52133 Advantage Health Solutions (Salt Lake City, UT) No City St: Zip 98999 2691: X A.B.S. The current and complete Payer ID list can be accessed by downloading the PDF or Excel file. The Insurance Payer ID is a unique identification number assigned to each insurance company. If you are sending to Highmark with Payer ID 54771 & Payer ID 15460, follow the instructions below. 7. . The system is simply a receiver of information (think of a mailbox). reliability of any content available through the website. COMMERCIAL. Email Railroad Medicare. ANSI X12 837P - 4010 2310E N2 - Additional Supervising Provider Name Information, ANSI X12 837P - 4010 2310E NM1 - Supervising Provider Name, ANSI X12 837P - 2310D (previously 2310E in the 4010) - Supervising Provider Name Loop. Payer Name (Waystar Payer ID) Related Payer Name(s) Prof Claims Inst Claims Secondary Claim Format Remits Elig . State Trust Group. Claimsnet Production Payer List Payer Name Type in the payer name you are searching for then hit the tab key. Customer and is provided "AS IS". If not, please see the enrollment instructions found here: . Contact a specific Railroad Medicare department. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. Simplify your day-to-day front office workflow with a . You can search by payer ID or Payer Name for payers that accept electronic claims and attachments, or that provide electronic insurance eligibility verification. Go to Online|FAQ or pattfaq.com 2. The three letter prefix preceding the member identification number must be included on all electronic claim submissions. Complete the form using the provider's billing/group information as credentialedwith this payer. Payer Name Payer ID Type Services; Adventist Health Plan: MPM37: commercial: UB04 1500: More Info: Custody Medical Services Program: AMM03: commercial: UB04 1500: More Info: 1199 National Benefit Fund: AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Co. COMMERCIAL. Enrollment Required. 1199 National Benefit Fund. Benefit from thousands of electronic payer connections to streamline your claims processing and increase accuracy. No. For Brokers, use their Agency ID which is either a 4 or 5 digit code. All Rights Reserved. Payer to be deactivated in 2019 - please use Payer ID 37283 for claim submissions. Health care professionals, billing services and clearinghouses who are new to the EDI space can register to exchange 27x self-service and 837 claims electronic transactions with Anthem in Availity. ERA 835 . BANKERS CLAIM SER. Name Address: City St: 36273 E: AARP UNITEDHEALTHCARE ALL CLAIM OFFICE ADDRESSES: . Please follow the Enrollment Instructions below to become an electronic submitter for Pennsylvania Blue Shield Highmark. Name. Blue Cross Blue Shield of Maryland- Care First, Comprehensive Benefits Administrators Inc.(CBA), Employee Benefit Plan Administration (EBPA). Type column: X=print and mail, D=direct electronic connection to payer from BCBSM EDI, E=electronic transmission through clearinghouse Electronic Attachment Dental Payer List November 2009 Payer Name NEA Payer ID Payer Name NEA Payer ID Administrative Services Only, Inc 089002 Blue Cross of California- Anthem 026010 AETNA 037001 Blue Cross of Colorado 026016 Aetna DMO 037018 Blue Cross of Idaho 092001 AETNA Life and Casualty 037004 Blue Cross of Indiana 026018 Payer List. The following table provides a listing of participating Change Healthcare ePayment payers. The payer search tool helps you identify the insurance companies you work with that offer electronic connectivity. Payer Codes An Electronic Remittance Advice (ERA) is the electronic version of an Explanation of Benefits (EOB). Start saving time and money today. We hope you enjoy our new look! Sync your appointment schedule with your billing. Sending electronic data interchange (EDI) transactions can help claims process faster and improve your cash flow. InstaMed. Payer Name: Payer ID: American Income Life Insurance Company: 60577: AmeriHealth Administrators: 54763: Ancillary Care Services: A2004: Bankers . Contact us. Enroll. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Request a Payor If the insurance company you work with isn't on the list or if they are on the list, but don't provide the service you want, tell us about it. Type Select a type SOP Select a SOP Payer ID Select a Payer ID Claims (837) In Production Enrollment Required Clear ERA (835) In Production Enrollment Required Clear Claim Status (276/277) In Production Enrollment Required Clear View Legend Submit EDI claims to thousands of private and government payers. Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Dont see a payer on our list? 11/18/2021 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type. State Payer Name State Payer ID LOB Transaction Method Info Updated (NLH) Netcare Life and Health Insurance: 66055: Dental: Claims: Unknown: 1/8/2022: 1199 National Benefit Fund: 13162: Medical: Claims: Unknown: 1/8/2022: 1199 National Benefit Fund: 13162 . 36273. Note: While every effort is made to keep all information up to date and accurate, all content found on Eclaims.com is intended to be a general information resource Clearinghouses.org is waiting for All Payer Exchange to complete their EDI Survey. ECHO . Payer 276 List Payer ID Payer Name 80705 ONE Health Plan Inc. of Arizona 80705 One Health Plan Inc of Wyoming 47009 Paul Revere / Provident 47009 Physicians Mutual (Lincoln, NE) 47570 Premera Blue Cross (Seattle, WA) 61271 Principal (Coloradp Springs, CO& DesMoines, IA) 60054 Prudential 95266 R.E. BANKERS: PO BOX 37511 OAK PARK: MI 48237: 98999 0248 X: A.B.S. 13162. Electronic Remittance Advice . Payer Claims List Payer ID Payer Name Req. All rights reserved. Eclaims.com assumes no liability whatsoever for any errors or omissions in any content contained Team, Timothy R. Fogerty, Chief Executive Officer, Charlotte A. Martin, President and Chief Operating Officer, B. James Rubin (Jim), Chief Financial Officer, Robert E. Strickland, Executive Vice President Sales and Marketing, Kelly A. Triska, Executive Vice President, Client Services, Michelle L. Llewellyn, Director of Marketing, John Zammit, Vice President, Channel Partnerships, Lynnette Helmle, Vice President, Channel Partners. Well try to get them added. All rights reserved. Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 PORTLAND OR 97205 AAI TEST N N/A PO BOX 6680 PORTLAND OR 97228 . GreyCat Studios, LLC. . The payor search tool helps you identify the insurance companies you work with that offer electronic connectivity. PAYER ID PAYER NAME COMMENT 10944 Affinity Health Plan 13196 Affinity Health Plan - Medicare 13201 AFLAC 10014 AFLAC - Dental 13199 AFLAC - Medicare Supplemental 13529 AGIA, Inc. 13197 Alan Sturm and Associates - Dental 13198 All Savers Life Insurance 10965 Allegiance Benefit Plan Management Inc. 10971 Alliant Health Plans of Georgia 91151. Sterling Option 1. Active Payer List - Effective February 2021 HealthSmart Clearinghouse Payor List : Payor ID: Payor Name: Payor Type: Transaction Type: 13162: 1199 Local Benefit Fund: Participating Payor: Professional Institutional: 93044: A & I Benefit Plan Administrators: Former payer ID AMM06. Login, Secondary Claims Processing Environment (SCoPE), Our Michigan Department of Community Health GED92523I 12K38 MICHIGAN MEDICAID . 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