[PDF] Change Healthcare Dental Payer List 8/16/2016 1 State Payer ID





Previous PDF Next PDF



CLAIMS & ERA PAYER LIST September 9 2022

Sep 9 2022 Payer 75185 to HealthSmart Benefit Solutions (EDI. Payer ID #37283). Claims submitted under payer ID. AARP - UnitedHealthcare Insurance ...



EPS Payer Id Payer Name Type 13162 1199 NATIONAL BENEFIT

EPS Payer Id. Payer Name. Type. 13162 1199 NATIONAL BENEFIT FUND 82018 HCS - HEALTH CLAIMS SERVICE (BOISE ID) ... 95279 Keenan Associates (CA).



Institutional (Hospital) and Professional (Medical) Payer Listing

Payer ID. Payer Name. Services. Hospital. (837I). Medical. (837P). 00046 Hill Physicians Medical Group 95279 Keenan Associates (CA).



Change Healthcare Dental Payer List 8/16/2016 1 State Payer ID

Aug 16 2016 ID. Type. Model. Grou p #. Enrol l. Payer Enrollment Turnaround ... Use this Payer ID for submitting ... 95279. Par. COMMERCIAL.



Payer Identification Information Claims Information Remittance

ID. Payer Name. Additional Info. Status. Enrollment. Required To submit to Payors not on this list use Payor ID "06126" ... 95279 Keenan Associates.



Change Healthcare Dental Payer List 8/16/2016 1 State Payer ID

Aug 16 2016 ID. Type. Model. Grou p #. Enrol l. Payer Enrollment Turnaround ... Use this Payer ID for submitting ... 95279. Par. COMMERCIAL.



Payer Claims List

Payer ID. Payer Name. Req. Enroll. 22384. Administrative Concepts (Wayne PA) 95279. Keenan Associates (Torrance



TPL Carrier File

ID. 83707. 8007867930. 10079. ABS. PO BOX 30570. PHOENIX. AZ 85046. 6238897200 95279. UNITED HEALTHCARE. P.O. BOX 30551. SALT LAKE CITY. UT 84130.



Payer list PDF dump

Aug 7 2015 Each claim must be associated with a payer ID. If sending directly from your ... 95279. Commercial. CA. Keenan and Associates. Institutional.



eAttachments Payer Identification Information Claims Processing

To submit to Payors not on this list use Payor ID "06126" 95279. Keenan Associates. Non Par. Batch. 73100. Kempton Company (OK).



Payer ID provider number reference — Professional

Payer ID provider number reference — Professional Rev January 2022 Use this guide as a reference tool when submitting professional claims The information was current at the time of publication We will announce changes on the Provider News Center and the Provider Engagement Analytics & Reporting (PEAR) portal



HRSA COVID-19 Coverage Assistance Fund Claim Submission Guide

submitting an EDI file using Payer ID UHNDC you must successfully complete specific EDI testing Contact your clearinghouse to begin the testing process Refer to NDC Claim Submission or call UnitedHealthcare EDI Support at 800-842-1109 for more information Other



Institutional Claim Payers List (05/08/2023) - Optum

complete enrollment form under payer ID 95044) 23037 Y AMERIHEALTH HMO TRUE G AmeriHealth NorthEast (Dates of Service on or before Dec 31 2020 may continue to use the following until Dec 31 2021 For dates of service 01/01/21 or after use payer ID 22248) ** 77001 Y AMERIHEALTH NE FALSE G Amerihealth PPO New Jersey** 12X28 N



Clearance EDI Eligibility Payer List - Change Healthcare

Payer-assigned Payer ID:Payer ID assigned by the payer Connectivity Type Available: Indicates X12 Portal or Both Authorization Required: X12 or Portal: Payer requires authorization for providers to submit through Change Healthcare for the Connectivity Type indicated No: No authorization required for the Connectivity Type indicated



Searches related to payer id 95279 filetype:pdf

This Payer Sheet applies to BIN 610279 Only CLAIM BILLING/CLAIM REBILL TRANSACTION For BIN 610297 we will select one of the following COB options: Scenario 1 - Other Payer Amount Paid Repetitions Only Scenario 2 – Other Payer -Patient Responsibility Amount Repetitions CLAIM BILLING/CLAIM REBILL PAID (OR DUPLICATE OF PAID) RESPONSE

What is payer ID 99999-0aqs?

    Payer ID 99999-0AQS has been established for the HRSA COVID-19 Coverage Assistance Fund, and claim submission to the Fund should be accomplished via providers’ regular electronic claim submission methods.

What is payer ID 45276?

    Payer ID 45276 West Virginia Family Health Plan will remain active only for claims for service dates prior to 7/1/2019. Providers should check member cards to ensure they send claims to the correct WV MCO plan for service dates 7/1/2019 and forward.

When to use payer ID 20976 or 90440?

    Use Payer ID 20976 for claims with DOS 4/1/09 and after. For claims with DOS prior to 4/1/09 use former payer ID 90440. Premier HealthCare Exchange GEC91953I 88056 GEC91953P Premier Managed Care Inc. (Ohio BWC) Presbyterian (NM) GEC91100P 05003 GEC91100I Prestige Health Choice GEC92596P 77003 Payer effective 5/1/2014.

What is payer ID 87726?

    The health care ID card for members who have transitioned indicates payer ID 87726. Link: UHCprovider.com/claimslink Online: UHCprovider.com/claims(policies, instructions and tips)

Change Healthcare Dental Payer List

8/16/2016

1

StatePayerTypeModelGrou

p #Enrol lPayer Enrollment Turnaround

TimeServiceNPI5010

ICD1 0 Read y ICD10

Testin

g ICD10

Required as

of

Compliance

Date Additional InfoERA/EFT Enrollment LevelERA Enrollment TypeRequires EFT for ERA

Enrollment ERA Payer Enrollment Form

RequiredERA Paper RA Shut Off

3P Admin20413ParCOMMERCIALYesNoClaimsYY

A & I Benefit Plan Administrators93044ParCOMMERCIALYesNoClaimsYY A & I Benefit Plan Administrators93044COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.EFT

Enrollment requires your Tax ID

Number plus a 4-digit Suffix that

can be found on the same line as your provider TIN on your most recent explanation of benefits.

Tax ID & Provider ID required

A.D.N. Administrators, Inc.CXADNParCOMMERCIALYesNoClaimsRY

AARPAARP1ParCOMMERCIALYesNoClaimsYYS

AARP Claims with a mailing

address of PO Box 2059,

Mechanicsburg, PA

AARPAARP1COMMERCIALYes30 Business DaysERAYTax ID / NPI combination

Payer accepts enrollment request

from Change Healthcare.

NoNoImmediately

Acceptius (Benefit Management Inc of MO (BMI)43178ParCOMMERCIALYesNoClaimsR

Access DentalCX097ParCOMMERCIALYesNoClaims R

via Performance Health

Technology

Access DentalCX097COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.EFT

Legacy ID - For Providers, use

their Facility/Office NPI. For

Brokers, use their Agency ID

which is either a 4 or 5 digit code. The 4 digit code starts with a 5 and the 5 digit code start with a 2

Tax ID & NPI required

Acclaims64071ParCOMMERCIALYesNoClaimsY

ACS Benefit Services Inc.72468ParCOMMERCIALYesNoClaimsYY f.k.a. ACS Consulting Services, Inc.

ACS Benefit Services, Inc.61474ParCOMMERCIALYesNoClaimsYYACS Branded Dental ProductActiva Benefit Services, LLC/Dental38255ParCOMMERCIALYesNoClaimsYY

(Formerly Amway

Corporation/Dental)

Administrative Concepts, Inc.22384COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.EFTTax ID only Administrative Services Only, Inc.CX076ParCOMMERCIALYesNoClaimsY

Additional enrollment is not

required by the payer, however, providers wishing to submit

Claims electronically must be

credentialed with the payer.

Please ensure you have

successfully process one paper

Claims with the payer prior to

submitting your first electronic

Claims

Advantage by SuperiorCPPSAParCOMMERCIALYesYesPayer's discretionClaims R

Effective only for Dates of Service

prior to 2-01-13. Call

DentaQuest at 800-896-2374 and

MCNA Dental at 855-776-6262 for

Dates of Service 2-1-13 and greater

Advantage Dental Plan, Inc.93524ParCOMMERCIALNoNoClaimsYY Advantek Benefit Administrators83077ParCOMMERCIALYesNoClaims YY Advantica Benefits 43168ParCOMMERCIALYesNoClaims YY Advantica Benefits 43168COMMERCIALYes5-7 Business DaysERATax ID / NPI Combination

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Advantica Benefits 43168COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.EFTTax ID & NPI required Advantica Benefits 43168COMMERCIALEligibility InquiryDetailed Benefits Advantica Benefits 43168COMMERCIALClaim Status Inquiry

Adventist Health System West - Roseville, CA95340ParCOMMERCIALYesNoClaimsYYAdventist Health System West - Roseville, CA95340COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Adventist Health System West - Roseville, CA95340COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.EFTTax ID only

Aetna60054ParCOMMERCIALYesNoClaimsYY

Aetna60054COMMERCIALYes35-40 Business DaysERAY

ERAs returned for claims and pre-

treatment estimates. Tax ID / NPI combinationPayer requires paper enrollment form.

NoYes30 Days

Aetna60054COMMERCIALNoEligibility InquiryDetailed Benefits Aetna60054COMMERCIALNoClaim Status InquiryAetna68246ParCOMMERCIALYesNoEncountersYY

Use this Payer ID for submitting

DMO services only.

Aetna Affordable Health Choices (SM) - SRC57604ParCOMMERCIALYesNoYY Aetna Medicare EPO/PPO Dental18014ParCOMMERCIALYesNoClaimsRY Affordable Benefits Admin.95426ParCOMMERCIALYesNoClaimsYY AFLAC GA58066COMMERCIALNoEligibility InquiryDetailed Benefits

AFLAC GA - GRP58066ParCOMMERCIALYesNoClaimsYY

Group Plan coverage please refer

to your ID card for group coverage/number verification.

AFLAC NY52080ParCOMMERCIALYesNoClaims YY

This plan also shares the same

mailing address as payer ID

58066 and the only difference

between the plans is that the insured ID for the NY based plan begins with "PN" as "PNxxxxxx" (followed by 6+ digits) AFLAC NY52080COMMERCIALNoEligibility InquiryDetailed Benefits

AFLAC NY - GRP52080ParCOMMERCIALYesNoClaims YY

Group Plan Coverage please refer

to your ID card for group coverage/number verification. AGC International Union of Operating Engineers Local 701

91136ParCOMMERCIALYesNoClaimsYY

Please enter group # F07 when

submitting claims. A Welfare and

Pension Administration Services

payer

Change Healthcare Dental Payer List

8/16/2016

2

StatePayerTypeModelGrou

p #Enrol lPayer Enrollment Turnaround

TimeServiceNPI5010

ICD1 0 Read y ICD10

Testin

g ICD10

Required as

of

Compliance

Date Additional InfoERA/EFT Enrollment LevelERA Enrollment TypeRequires EFT for ERA

Enrollment ERA Payer Enrollment Form

RequiredERA Paper RA Shut Off

AGC International Union of Operating Engineers Local 70191136COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

AGC International Union of Operating Engineers Local 701

91136COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.EFTTax ID only

AK United Food and Commercial Workers (AK UFCW)

91136ParCOMMERCIALYesNoClaimsYY

Please enter group # F45 when

submitting claims. A Welfare and

Pension Administration Services

payer AK United Food and Commercial Workers (AK UFCW)91136COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Alameda Alliance CX083ParCOMMERCIALYesNoClaimsYYAdmin by LIBERTY Dental Plan

Alask Carpenters91136ParCOMMERCIALYesNoClaimsYY

Please enter group # F40 when

submitting claims. A Welfare and

Pension Administration Services

payer Alask Carpenters91136COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Alask Carpenters

91136COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.EFTTax ID only Alaska Electrical Health & Welfare Fund92600ParCOMMERCIALYesNoClaimsYY Alaska Hotel Employees, Restaurant & Camp Employees (AK HERE)91136ParCOMMERCIALYesNoClaimsYY

Please enter group # F41 when

submitting claims. A Welfare and

Pension Administration Services

payer

Alaska Hotel Employees, Restaurant & Camp Employees (AK HERE)91136COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Alaska Hotel Employees, Restaurant & Camp Employees (AK HERE)

91136COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.EFTTax ID only Alaska Laborers Construction Industry Health & Security Trust

91136ParCOMMERCIALYesNoClaimsYY

Please enter group # F23 when

submitting claims. A Welfare and

Pension Administration Services

payer

Alaska Laborers Construction Industry Health & Security Trust91136COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Alaska Laborers Construction Industry Health & Security Trust

91136COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.EFTTax ID only

Alaska Machinists Health and Welfare Trust

91136ParCOMMERCIALYesNoClaimsYY

Please enter group # F21 when

submitting claims. A Welfare and

Pension Administration Services

payer Alaska Machinists Health and Welfare Trust91136COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Alaska Pipe Trades U A Local 375

91136ParCOMMERCIALYesNoClaimsYY

Please enter group # F24 when

submitting claims. A Welfare and

Pension Administration Services

payer Alaska Pipe Trades U A Local 37591136COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)

91136ParCOMMERCIALYesNoClaimsYY

Please enter group # F60 when

submitting claims. A Welfare and

Pension Administration Services

payer

Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)91136COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Alaska Public Employees Association (APEA/JESS Health & WelfareTrust)

91136COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.

EFTTax ID only

Alexian Brothers Community Services of TN44423ParCOMMERCIALYesNoClaimsRY

AllCare CCO Dental

CXALCParCOMMERCIALYesNoClaimsRY

via Performance Health

Technology

Allegeant52193ParCOMMERCIALYesNoClaimsYYf.k.a. LBA Health Plans

Allegeant52193COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.

EFTf.k.a. LBA Health PlansTax ID only

Allegiance Benefit Plan81040ParCOMMERCIALYesNoClaimsRY

Change Healthcare Dental Payer List

8/16/2016

3

StatePayerTypeModelGrou

p #Enrol lPayer Enrollment Turnaround

TimeServiceNPI5010

ICD1 0 Read y ICD10

Testin

g ICD10

Required as

of

Compliance

Date Additional InfoERA/EFT Enrollment LevelERA Enrollment TypeRequires EFT for ERA

Enrollment ERA Payer Enrollment Form

RequiredERA Paper RA Shut Off

Alliant Services70106ParCOMMERCIALYesNoClaimsRY

Claims mailing address of PO Box

12009, Cheshire, CT

Allied Benefit Systems37308ParCOMMERCIALYesNoClaimsYY

Allied Benefit Systems37308COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.

EFTTax ID & Provider ID Required

Allied Metal Crafts Security Plan Trust Fund

91136ParCOMMERCIALYesNoClaimsYY

Please enter group # F18 when

submitting claims. A Welfare and

Pension Administration Services

payer Allied Metal Crafts Security Plan Trust Fund91136COMMERCIALYes1-3 Business DaysERATax ID only

Payer accepts enrollment request

from Change Healthcare.

NoNoMinimum of 31 Business days or

3 payment cycles

Allied Metal Crafts Security Plan Trust Fund

91136COMMERCIALYes

EFT Enrollment is processed

between the provider and Change

Healthcare. Approval time is

dependant upon the provider's responsiveness.

EFTTax ID only

AlwaysCare BenefitSTR01NonCOMMERCIALNoClaimsRY

Amalgamated Life - PA Alicare13343ParCOMMERCIALYesNoClaimsYY

Ameriben Solutions75137ParCOMMERCIALYesNoClaimsRY

American Administrators dba Select Benefit Administrators (West Des Moines, IA)42137ParCOMMERCIALYesNoClaims YY

Please check the Insured ID card

to verify the Payer ID before submitting claims. If you have questions, please contact Provider

Relations at 800-456-4584.

American Benefit CorporationCX084ParCOMMERCIALYesNoClaimsY

Only limited plans may be sent

electronically. Group name is required with one of the following plan names: Sheet Metal,

Berekely, Boone, Carpenter,

Cabell, Clarksbur, Doodridge,

Hancock, Harrison, Marion,

Monongalia, Mingo, Mineral,

Morgan, Nicholas, Putnam,

Taylor Tyler Wetzel

American Medical SecurityCX001ParCOMMERCIALYesNoClaimsYYA United Healthcare Payer American Postal Workers Union Health Plan44444ParCOMMERCIALYesNoClaimsYY

Americas TPA41178ParCOMMERCIALYesNoClaims RY

quotesdbs_dbs21.pdfusesText_27
[PDF] payer id list 2020

[PDF] payer id number blue cross blue shield minnesota

[PDF] payer id number on insurance card blue cross

[PDF] payers abn

[PDF] paying my water bill online

[PDF] payment plan for water bill

[PDF] payment services

[PDF] payments wiley

[PDF] payroll conduent

[PDF] payroll report template

[PDF] payroll template

[PDF] pays et nationalités en français

[PDF] payscale salary

[PDF] pbs yamiche alcindor twitter

[PDF] pc chapter 5 solutions