View BlueCard plan prefix list (login required). x�b```b`` c`e`Vf�c@ >�(� Payer list Unique to the industry, pVerify’s offering for Non-EDI Payers expands our list beyond any other companies’ capabilities. Boxes: P.O. OneTouch ® Apex EDI has created the OneTouch ® solution to offer you an easier and less expensive way to process your insurance … former payer ids 31107, 33108, 74223, 75196, 75243 Other OptumHealth Physical Health (includes Oxford) 41161 former payer ids 41159, 41160 Other Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) 41194 former payer id 52190 Other OneNet PPO (formerly Alliance PPO & MAPSI) 52149 Below is a list of the insurance companies and payer ID to which Apex EDI sends claims electronically. Crystal Run Health Plans. Eclaims.com provides a searchable payer id code list, spanning all states for BCBS, MDCR and MDCD. Payer ID valid for claims submission address of P.O. Payer ID is for ERA only. Blue Cross Blue Shield Missouri Anthem MO BCBS MO BCBS Other ID's: SB741, SB742, 12B65, 12B15 Other; xref Refer To Back Of ID Card Payer ID 55764: Professional, Institutional, and Dental: Yes: 877-444-7194: PNT Data (formerly Post-n-Track) Payer ID HPAMN: Professional and Institutional: Yes: 860-257-2030 . h�b```�m�B ��ea�X��0U���A��Ǎ��`�,����6s�L2Z?Eٳ�Ec��s�Z��:::��$�+������ us30�)iq � ��� �&��q�I�L"ln̗�"͘���0�b�d�.d�����·'���A�+C�!H3�@� �6,� endstream endobj 1039 0 obj <>/Metadata 23 0 R/Pages 1036 0 R/StructTreeRoot 32 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1040 0 obj <. Refer To Back Of ID Card . Payer ID only valid if the P.O. Customer Service (800) 432-3990 ANTHEM BCBS CONNECTICUT 00095 . Box 809025, 809067, 809079, 809066, 809036, 809081, Dallas, Tx 75380-9025 : MEGA Life and Health Insurance (North Richland Hills, TX) 59221: Y: MEGA Life and Health Insurance (Oklahoma City, OK) 59227: Y: Memorial Clinical Assiciates: MCA11: Y Payor Name Payor ID Par Enroll Secondary Service(s) COX HEALTH SYSTEMS: 00019: No: No: Yes: Hospital, Professional, Secondary: HILL PHYSICIANS MEDICAL GROUP: 00046 You can submit your BlueCard claims with your regular transmission files to us, using the same payer ID, and we'll coordinate with the member's home plan. Payer ID is for claims with Service Dates prior to May 1 2014. 0000012086 00000 n Alpha Care Medical Group NMM04 835 Alta Bates Medical Group A0701 837 AltaMed ALTAM 837 Effective 3/27/19, the new payer ID … trailer Learn More. 91151. 875 0 obj <> endobj BCBS OF KANSAS 00093 . 0000003404 00000 n 00130 ; National Government Services (NGS) IN ; 00131 . If the ID number you need to find is for a property you own, you may already have the number in your files. Payor ID: Payor Name: Payor Type: Transaction Type: 06102: Illinois Medicare: Participating Payor: Professional: 72091: IMA of Louisiana, Inc. 0000001305 00000 n 0000004742 00000 n AFTRA HEALTH FUND. Payer ID: REF01: 128: 2U/NF: Payer Secondary ID Qualifier: REF02: 127: Payer Secondary ID: Paper Form: Locator: Code Qualifier: Institutional - UB-04: 51: N/A: Definition: The number identifying the payer organization associated with this sequence for which the provider might expect some payment of the bill. COMMERCIAL. 0000000016 00000 n 0000002198 00000 n National Provider Identifier (NPI) field is a required field. 4. x. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Some federal identification number look-up tools are available online. 64158. BANKERS CLAIM SER.… (Read more) Refer to NDC Claim Submission or call UnitedHealthcare EDI Support at 800-842-1109 for more information. Alpha Care Medical Group NMM04 837 Former payer code MPM32. For more information, call our BlueCard team at 888-261-9562. Learn More. 72467: ACS Consulting Services, Inc. N C : N N Y Y 38254: Activa Benefit Services LLC: N C : N N N Y 75678: Active Care UCS: N C : N N Y Y 91173: Adaptis: N C November 2020 4 *For use only by those who use Emdeon as their clearinghouse. The Payer IDs provided above have been assigned by the clearinghouse. 0000003775 00000 n endstream endobj 900 0 obj <>/Size 875/Type/XRef>>stream 0000007625 00000 n 0000004664 00000 n %%EOF Payer ID. COMMERCIAL. �S?�700�� ��x����%�S���屫,��X�$ ���,"��D?|h�``��ڠ��4ɧ�"u� ����i�y5����Ć�N[ ��t��d`�k�/���e%�f!� n!� Please enter the unique policy number or ID card when submitting claims. submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. National Government Services (NGS) IL . Electronic claim submission maximizes claims processing efficiency and paper submissions do not. 1038 0 obj <> endobj 1063 0 obj <>/Filter/FlateDecode/ID[<6BAA9C83F16F7646AB825F9675DD2DE9>]/Index[1038 48]/Info 1037 0 R/Length 121/Prev 219550/Root 1039 0 R/Size 1086/Type/XRef/W[1 3 1]>>stream Payer ID: 00423; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Prime: Electronic Remittance (ERA) YES: Secondary Claims: YES: Electronic Attachments: YES: This insurance is also known as: Anthem Blue Cross and Blue Shield Virginia 0000004244 00000 n View our network today to connect with a payer or partner for all available transactions. 0000003812 00000 n Our Payer List ( tabbed)( pdf) Automotive: Dental: Eligibility: ERA: Hospital: Professional: Workers Comp: Claim Status : Our PGP Key : Sales Client Services ClaimLogic 6525 N Meridian Ave Ste 600 Oklahoma City, OK 73116-1416 Tel: 405-942-9800 Fax: 405-942-9802 EMPIRE BLUE CROSS BLUE SHIELD II 00108 Refer To Back Of ID Card EMPIRE BLUE CROSS BLUE SHIELD II 00109 Refer To Back Of ID Card CARPENTERS TRUSTS OF W.WASHINGTON 00110 Min-Sug (Darren) Kong (206) 441-6514 BLUE CROSS BLUE SHIELD OF NC 00112 eSolutions Help Desk (888) 333-8594 CAPITAL BLUE CROSS 00113 Molly Kuntz … Finding Property Tax ID Numbers. Federal Tax ID number (numbers only - no dash needed). 46430. Participating Payor State Processed. startxref 0000009390 00000 n BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. 0000011061 00000 n Contact your clearinghouse to begin the testing process. 13346. Box 3590, Detroit, MI 48203. Sterling Option 1. Cahaba Health Benefit Administration (RHHI) IA : 00020 . %PDF-1.6 %���� 0 Payer ID provider number reference — Professional Rev. Payer IDs. %PDF-1.4 %���� Payer ID for claims is 72467 but you must enroll under Payer ID 58379 to receive ERAs. 0000014780 00000 n Tag Leave blank NPI The . Contractor Name. 0000000851 00000 n If you are an independent contractor, your most recent 1099 form should contain the payer’s EIN. 0000005956 00000 n 00011 . 0000004453 00000 n 95327. CONTRACTOR PAYER ID . SSI Payer ID Payer Health Plan ID Claims (837) Secondary Available File Level Acknowledgement ... 00021 MS MEDICARE 99999-0031 07301 00022 COMMUNITY HEALTH SOLUTIONS CLA11-NOCD CLA11 LA MEDICAID 99999-0032 ... PAYER FUSION 27048-NOCD 27048 PHYSICIANS CARE NETWORK THE POLYCLINIC PCN12 PHYSICIANS HEALTH NETWORK MHCM2-NOCD Box 3160, Detroit, MI 48203 AND P.O. Electronic Claim Submission-Maximizes Claim Processing. Revenue Performance Advisor Payer List. Be sure to include the three-character plan prefix when submitting BlueCard claims. ANTHEM BCBS MAINE 00097 . State Trust Group. 0000010228 00000 n Box on the Health ID Card matches one of the following P.O. 0000001105 00000 n x���A 0�4��#��X%?���=i2������C. ANTHEM BCBS N EW HAMPSHIRE 00096 . <<1579B670F2DDA74C9CC9ECCC6A0598AD>]>> ALAMEDA ALLIANCE FOR HEALTH. Refer To Back Of ID Card . 1292. We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. Search by carrier or state in one easy step to locate the correct payer id code, neccessary to route EDI transactions to the correct payer. 2. x. x. EDI allows Medical Providers to access timely information in today's health care environment. HealthPartners does not assign Payer IDs. Refer To Back Of ID Card . 521. Clearinghouses may update submission rules, so always confirm specific submission requirements with your clearinghouse. 0000008578 00000 n Payer ID Right click to select payer ID . Tax ID/Type Enter your . Tax ID type . COMMERCIAL. 0000001620 00000 n Refer To Back Of ID Card . 0000006775 00000 n Payer ID valid only for claims with a billing submission address of PO Box 982005 Ft. Worth TX 76182. 0000002498 00000 n Through human-enabled AI, machine learning, human oversight, and some manual efforts, we are able to provide more details for more payers than ever before. 42162. 0000001809 00000 n Crystal Run Health Plans. Print Electronic Claims. COMMERCIAL. 1293. 0000010183 00000 n 00882 MEDICARE ‘B’ - RAILROAD . Payer ID 31053 is for State Farm - Health line of business. Blue Cross Blue Shield of New Mexico is committed to giving health care providers the support and assistance they need. AGENCY SERVICES, INC. 2. x. x. When submitting to this payer ID please ensure the following: The claim is for a Medicaid, Child Health Plus, or Family Health Plus member and the subscriber ID is as printed on Member's ID Card. Claims with a Date of Service on or after May 1 2014 will reject for ACK/RETURNED - Claim submitted to incorrect payer. For type, right click to select the . Codes and Values: 1. 0000004031 00000 n 522. EMPIRE BLUE CROSS BLUE SHIELD II 00092 . x. Table 1 – Medicare Part A Contractor Payer IDs . Medicare . Pinnacle BSI ; AR . 0000002886 00000 n Payer returns ERA's automatically once electronic claim submission begins. h�bbd```b``���@${)�d �L��"�`v�,�,�,�`�;A$�40�X���_`5�`r6�,J�����ve��`?��O ��vt3012���00 ����� ��x endstream endobj startxref 0 %%EOF 1085 0 obj <>stream 901 0 obj <>stream 46120. Far more than a clearinghouse, Gateway EDI offers providers the powerful technology, intuitive tools and industry-leading customer service that improve the … 875 27

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