[PDF] CLAIMS & ERA PAYER LIST September 9 2022





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Electronic Attachment Dental Payer List Payer Name NEA Payer ID

NEA. Payer ID. Administrative Services Only Inc. 089002. BCBS of Texas. 034004. AETNA. 037001. BCBS of Wisconsin. 026022. Aetna DMO. 037018. Bell Atlantic.



Sandata Electronic Visit Verification Sandata Electronic Visit Verification

25 июн. 2020 г. CLIENT PAYER ID. Displays the client payer id. PAYER. Displays the ... 6/25/2020. Page 38 of 213. Sandata Electronic Visit Verification Manual ...



LIST OF PAYORS

18 февр. 2020 г. Payor ID 91131. Submit claims to: Submit claim appeals to: PO Box ... 02/04/2020. LIST OF PAYORS. Website: FCH. Page 23 of 23.



Institutional Claim Payers List (01/16/2020)

16 янв. 2020 г. MVP - Ohio (Previous payer ID MHP77; Use payer ID 38224 for claims with a date of service. 07-01-19 and greater). 38224. Y. MVP OHIO. FALSE. G.



Aetna Payer Sheet D.0 COM

4 авг. 2020 г. Your Software. Vendor/Certification ID is 1Ш bytes and should begin with the letter “D”. 08/04/2020. Page 5 of 24. Page 6. Insurance Segment: ...



Claims Payer List for UnitedHealthcare Affiliates and Strategic

effective 3/1/2020. Commercial. UnitedHealthcare West / UnitedHealthcare of CA Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB ...



2020 Payer Sheet

1 янв. 2020 г. PCN List for BIN 610241 ... OTHER PAYER ID QUALIFIER. RW. Required when secondary coverage is ...



Electronic Billing Electronic Billing

15 December 2020 1100 – 1200 EST. 17 December 2020 1600 – 1700 EST Medical Payer – HIC ID list. • Log in to ABACUS. • Go to Master Tables→ Insurance ...



Harvard Pilgrim Harvard Pilgrim

payer ID is appropriate. Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. If you have any ...



CLAIMS & ERA PAYER LIST October 27 2023 CLAIMS & ERA PAYER LIST October 27 2023

27 окт. 2023 г. ... 2020. Claims with DOS. 5/1/20 and after use payer code CAPMN. Experian ... ID 45276 West Virginia Family. Health Plan will remain active only ...



CLAIMS & ERA PAYER LIST September 9 2022

9 de set. 2022 Experian Health Payer List. Page 1 of 139 ... For DOS Prior to 5/1/2020. ... Effective 3/27/19 the new payer ID is ALTAM. AltaMed.



Claims Payer List for UnitedHealthcare Affiliates and Strategic

Claims Payer List for UnitedHealthcare Brand Name / Plan Name or Region. Medical. Payer ID. Dental. Payer ID ... effective 3/1/2020. Commercial.



OptumInsight Medical Payer List (08/29/2022)

29 d’ag. 2022 2020 may continue to use the following until Dec. 31



Blue Cross Blue Shield of Michigan Electronic Interchange Group

18 de nov. 2021 Blue Cross Blue Shield of Michigan Electronic Interchange Group Professional Commercial Payer List. Payer ID. Claim. Office # Type. Name.



Electronic Attachment Dental Payer List Payer Name NEA Payer ID

NEA. Payer ID. Administrative Services Only Inc. 089002. BCBS of Texas. 034004. AETNA. 037001. BCBS of Wisconsin. 026022. Aetna DMO. 037018. Bell Atlantic.



Harvard Pilgrim

Reference Guide for Payer ID Numbers. If you work with a clearinghouse to submit claims it's important to include the correct payer ID on your submitted 



List of Automatic Crossover Trading Partner (Insurers) In Production

Supplemental Payers and Insurers (Trading Partners). Updated: 09/30/2018. Trading Partner. Identification Number(s) Customer Contact. Contact Number.



eClaims Dental Payer List Information

eClaims Dental Payer List. April 2020. State. Payer. ID. Group # Enroll. Real Time Claims. *. Real Time Pre. Estimates*. Additional Info.



Institutional Claim Payers List (08/29/2022)

Institutional Claim Payers List. (08/29/2022). Payer. ID. Reports. Enter As Name 2020E. N. 2020 EYECARE. FALSE. G. 360 Alliance Gilsbar ##.



Payer ID Tech ID OI Code Coverage Type Payer Phone Street City

Payer ID. Tech ID. OI Code. Coverage. Type. Payer Phone Street. City. State Payer Name. 00029005 (800) 685-2020 PO BOX 950.



Claims Payer List for UnitedHealthcare Affiliates and

Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB-04) claimsCOB = Coordination of Benefits; indicates secondary/COB claims accepted electronicallySmart Edits = Apply to electronic claims submissions; Not applicable to DSNP lines of business 2023 UnitedHealthcarePage 2 of 23/2/2023



Payer ID grids now available for 2022 - IBX

Institutional Claim Payers List (05/08/2023) Payer ID Reports Enter As Name Additional Info Enrollment Payer Type Highlighted payers are new or have been altered in the last 90 days Please verify that your system is setup correctly for these payers



Search Payer List by Name ID & Transaction Type Office Ally

Feb 27 2018 · Search Payer List by Name ID & Transaction Type Office Ally Quickly search for insurance payer IDs with Office Ally's easy-to-use payer ID lookup tool & access our updated payer ID list to simplify your billing process Use this banner to inform your visitors of something important



Commercial Payer List - BCBSM

11/18/2021Blue Cross Blue Shield of Michigan Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type Name Address City St 36273E AARP UNITEDHEALTHCARE ALL CLAIM OFFICE ADDRESSES 38265 E ADMIN SYSTEMS RESEARCH ASR ALL CLAIM OFFICE ADDRESSES 22384 E



Searches related to payer id list 2020 filetype:pdf

Payer Identification Information Claims Processing Eligibility and Benefits Information Remittance Information To submit to Payors not on this list use Payor ID "06126" and be sure to submit all required fields including Payor Name and Complete Address (C) 2014 Tesia Clearinghouse Tesia Dental Payer Listing - Website (v09 10 20) xlsx 1 of 15

What's new in the payer ID grids?

    The payer ID grids have been updated with routine maintenance and to reflect product changes for 2022. The professional and facility payer ID grids contain valuable information to assist you in claims submission, including prefixes, payer information, and claims mailing addresses by product.

How has payer ID changed in 2021?

    The first half of 2021 has seen a lot of Payer ID and/or claims address changes. Making sure claims are submitted to the correct Payer ID will prevent delays in payments and an increased amount of denials. Below are some payer ID updates to make note of and update. Effective June 9, 2021, MPS-MVH is no longer accepting new claims.

What is a payer ID?

    Payer ID is for Workers Compensation claims for all states. 2293 J1205 Amerisure Mutual Insurance WORKERS COMPENSATION The above Payer Name(s) may represent multiple Accounts (employers). For a complete list please refer directly to Emdeon's published Payer List at: www.emdeon.com/PayerLists/payerlists.php 2294 12287 Amica Mutual Insurance Company

What payer ID should I use to submit claims for 2022?

    Effective 1/1/2022 please use Payer ID BRGHT for all submissions for 2022 services (excluding CA Medicare Advantage and TrueHealth NM). To avoid rejected claims, please have your IT department update EDI, clearinghouse, and other software processes.

IPDIPDIPDIPD

AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete87726837

Also known as Phoenix AdvantageNotes

CLAIMS & ERA PAYER LIST

July 7, 2023

LEGEND:

I = Institutional, P = Professional, D = Dental

COB = Coordination of Benefits

Transaction Column: 837 = Claims, 835 = ERA

Available Column: A Check-mark indicates that the transaction type is available. Enrollment Column: A Check-mark indicates that enrollment is required for the transaction type.

COB Column: A Check-mark Indicates that the payer accepts secondary claims electronically for the transaction type.

Attachments: A Check-mark indicates that the payer accepts medical attachments electronically for the transaction type.

Payer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Experian Health Payer ListPage 1 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Absolute Total Care

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Advantage by Bridgeway Health Solutions

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Experian Health Payer ListPage 2 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Advantage by Buckeye Community Health Plan

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Advantage by Managed Health Services

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Advantage by Peach State

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Advantage by Sunshine State

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Advantage by Superior HealthPlan

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Experian Health Payer ListPage 3 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Experian Health Payer ListPage 4 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Ohio Medicaid

Affinity by Molina Healthcare

As of 8/29/22, Molina has designated ECHO

Health as their ERA gateway to better meet

provider's payment solutions needs

Experian Health Payer ListPage 5 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

5/1/20 and after use payer code CAPMN.

submitting claims. submitting claims. submitting claims. submitting claims.

Experian Health Payer ListPage 6 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments submitting claims. claim submission begins. claim submission begins. claim submission begins claim submission begins claim submission begins. claim submission begins. claim submission begins. claim submission begins

Experian Health Payer ListPage 7 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Please submit claims using payer code OCN01.

claim submission begins. claim submission begins.

Allwell of Arkansas Health & Wellness

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Experian Health Payer ListPage 8 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

AMBETTER OF ARKANSAS

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Ambetter of Illinois

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks. automatically.

Experian Health Payer ListPage 9 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments claims to Wellcare payer id 14163

Americas Health Plan

Payer returns ERA's automatically once electronic

claim submission begins. Office Ally ERA Transfer

Letter is required to receive files

Experian Health Payer ListPage 10 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

AmeriHealth Caritas Next North Carolina

AmeriHealth Caritas Next, a product of

AmeriHealth Caritas North Carolina, Inc., is a

Qualified Health Plan (QHP) that offers individual medical insurance through the Health Insurance

Marketplace

Ohio Medicaid

Ohio Medicaid

Experian Health Payer ListPage 11 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Experian Health Payer ListPage 12 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Solutions

Solutions

Experian Health Payer ListPage 13 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Ohio Medicaid

Ohio Medicaid

Experian Health Payer ListPage 14 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Experian Health Payer ListPage 15 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Ascension Complete

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Experian Health Payer ListPage 16 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Author by Humana

For claims with DOS 6/1/22 forward, please use

electronic payer code 61101 for your claims to process correctly. Transactions with a DOS on or before 05/31/2022 should be submitted to Author by Humana under payer code 61108. claims to Wellcare payer id 14163

Experian Health Payer ListPage 17 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments AZ Complete Health (for claim DOS on or after 10/01/18)

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Experian Health Payer ListPage 18 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Baylor Scott & White Health Plan

Per EDI Gateway, effective 07/01/2020, claims for

date of service 07/01/2020 and after for Texas

A&M (TAMU) and Health Plus members will need

to be submitted to FirstCare using Payer ID 94999.

Experian Health Payer ListPage 19 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments send all claims to payer code 87815.

Benefit Solutions, Inc.

Claims previously submitted to payer code 88057.

Effective June 30th, 2023, please submit all claims to 60338.

Benefit Solutions, Inc.

Inst: Effective June 30, 2023, all claims should be submitted to payer code 60338; Prof: Effective

June 30, 2023, all claims should be submitted to

payer code 60338;

Experian Health Payer ListPage 20 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Experian Health Payer ListPage 21 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Experian Health Payer ListPage 22 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Experian Health Payer ListPage 23 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments payer code SB960;

Experian Health Payer ListPage 24 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Experian Health Payer ListPage 25 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Bridgeway Arizona

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Bright Healthcare

Effective 1/1/22, Bright Health Medicare

Advantage and Commercial plans have merged

into one payer code, 'BRGHT'. In order to receive remittance files for all MCR Advantage and

Commercial plans, ERA/EFT enrollment must be

completed via both Instamed and through V-Pay (SDS).

IAaka Health Options Program

5/1/20 and after use payer code CAPMN.

Buckeye Community Health

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

Ohio Medicaid

Experian Health Payer ListPage 26 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments

Ohio Medicaid

Ohio Medicaid

claim submission begins.

Experian Health Payer ListPage 27 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments approved for EDI submissions. approved for EDI submissions.

Care Improvement Plus

ERA Payer Code 87726.For DOS prior to 1/1/16. All

other DOS should be submitted under Payer ID

87726.

Experian Health Payer ListPage 28 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments Care1st Health Plan Arizona - Medicaid (DOS > 12/2/22)

ERA Payer Code 68069; Payer requires EFT

enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.

12/1/22 and after use payer code 68069

Value Options

Value Options

Experian Health Payer ListPage 29 of 144

IPDIPDIPDIPD

NotesPayer NamePayer CodeTransactionCOBAvailableEnrollmentAttachments payer code 31500.

Ohio Medicaid

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