insurance payer id list

John Hopkins Healthcare (EHP/PP) (Submit Billing NPI and Rendering/Servicing NPI). Monarch Healthcare IPA * (Rendering provider ID# required on all claims.). Mayo Management Services, Inc. ). Presbyterian Salud (Please add provider number in 2010AA REF02 or 2310B REF02 Number is 11 digits or less windshield coverage. Contact 888-923-5757, #6,#2 to obtain ID.).

Chicago IL Family Health Network patients. First Health Network (f.k.a.

& PPO Oklahoma). UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan). AVMED (Payer-specific provider number required in Box33a of the HCFA-1500 form.).

Carelink Advantra (WV HealthAssurance & Carelink commercial claims only.). UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid) . Network Health (Before initiating submissions, please call Provider Relations at (617)806-8104 or www.network-health.

). Student Insurance – Mid-West National Life Insurance Company of Tennessee. Arcadian Management Services, Inc (Group number should be entered if available. ). Loma Linda University Behavioral Medicine Center Employee Health Plan. Northern California Sheet Metal Workers Health Care (San Ramon CA). Mid-West National Life Insurance Co. of Tennessee (ID valid only for following: PO Box 982017, North Richland Hills, TX 76182).
American Administrators dba Select Benefit Administrators (W.DesMoines IA). The Health Plan (Massillon Ohio and St. Clairsville Ohio only). Sinai Medical Group Chicago IL Family Health Network patients only .
(For Dates of Service prior to October 1, 2007). UnitedHealthcare Community Plan / DC DE OH PA SC (formerly Unison). Blue Cross WashingtonClarian Health PlansColorado Choice Health PlansColorado Health Insurance CooperativeCounty Care Behavioral HealthMcLaren Medicaid. Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA).
UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid). Lancaster General Health Group - Preferred Health Care (IHS Payer) insurance payer id list. American LIFECARE (Group Number required. Valid only for claims with a billing address of 1100 Poydras ST.

Monumental Life Ins Co. (Specialized claims only. Call 501-277-1284 for information.).

insurance electronic payer id list

Operating Engineers Locals 302 & 612 Health & Security Fund – Grp#F12. Rehab Provider Network (RPN) SPECIALIZED FORMAT REQUIRED – CONTACT ENS(Note that this is not the same payer as Integra Group.). FirstGuard Health Plan of Kansas (Contact Karen Joslin at *(816)922-7225 to verify Firstguard ProviderID.

). Montefiore Contract Management Organization (Provider ID required, call 914-377-4400 for ID prior to first claims submissions .). Blue Cross WashingtonClarian Health PlansColorado Choice Health PlansColorado Health Insurance CooperativeCounty Care Behavioral HealthMcLaren Medicaid insurance companies in harrisburg pa.

Independent Health * (Enrollment and Testing Required, contact (716) 635-3911) . Memorial Integrated Healthcare (Please email Tracy Harswick at for payer ID information.). Mid-West National Life Insurance Co.
Peach State Health Plan Medicaid (Call 800-225-2573 ext 25525 prior to submitting claims.). Key Medical Group (Providers please contact Brandi Guinn @ 559-735-3892 x233 for authorization.). Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ).

Pro Care Health Plan, Inc. (Valid for PO Box 3160 and 3590, Detroit MI only.). CoreStar AZ MN (Only for address in Arizona and Minnesota insurance electronic payer id list.

FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. Montefiore Contract Management Organization (Provider ID required, call 914-377-4400 for ID prior to first claims submissions.). University of Washington Students & Graduate Appts.

North American Medical Management (NAMM) - Northern California. The payor search tool helps you identify the insurance companies you work with that offer electronic connectivity. You can search by payor ID or Payor Name for payers that accept electronic claims and attachments, or that provide electronic insurance eligibility verification. Monarch Healthcare IPA * (Rendering provider ID# required on all claims ticket for driving without insurance.

Northern California Sheet Metal Workers Health Care (San Ramon CA) buildings insurance quotes. Blue Cross Blue Shield of South Carolina - Planned Administrators Inc. Lancaster General Health Group - Preferred Health Care (IHS Payer). Maryland PMHS ValueOptions * (Use for Dates of Service after 9-01-2009. For earlier DOS use 77062.

DMERC Region A (Testing is required for claims requiring CMNs.) *. PA PREFRRED HEALTH (Call PPHN Claims Operations at 410-349-3222) . Peoples Health Network (Tenet) (Network ID must be on claim. Contact ). Home  /  Products  /  eServices  /  eClaims  /  Payor Search Tool.

dental insurance payer id list

View (or download and print) benefits details, per procedure, per network. Please note the following time frames for submitting Medicare Advantage and commercial claims: Claims must be submitted within one calendar year from the date of service. Claims must be submitted within the time stipulated in the provider agreement or the applicable state law. Generally, these claims must be submitted within:.

Get started by calling your practice management software vendor’s support center for details about how to submit claims and attachments, check benefits and eligibility, and accomplish other activities electronically. EDI system maintenance schedules and downloadable, printable guides. Use your practice management software to do more, including to communicate with insurance carriers electronically. Get started by calling your practice management software vendor’s support center for details about how to submit claims and attachments, check benefits and eligibility, and accomplish other activities electronically. EDI system maintenance schedules and downloadable, printable guides. Humana Cancer, Critical Illness, Accident, Hospital Indemnity, Life and Disability Income plans are insured by Humana Insurance Company, Kanawha Insurance Company, or Humana Insurance Company of New York. to view a complete list of the legal entities that offer, underwrite, administer or insure insurance products and services.

For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association Web site. OneTouch ® Apex EDI has created the OneTouch ® solution to offer you an easier and less expensive way to process your insurance claims electronically and receive faster reimbursement illinois auto insurance quotes. Humana group life plans are offered by Humana Insurance Company, Humana Insurance Company of Kentucky, or Kanawha Insurance Company. Some of the content on this page are available only in Adobe Acrobat - Portable Document Format (PDF).

insurance company payer id list

Professional Insurance Company (PIC) (Formerly GE Voluntary Benefits PIC). IBM Business Transformation Outsourcing Insurance Services Corporate. Managed Health Services Indiana * (Medicaid HMO, Enrollment Required – Call Debbi Sandberg at 800-225-2573 ext. 25306). Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. Great West Life & Annuity (Claims for Kennett, Missouri ONLY) .

Multicultural Primary Care Medical Group (San Diego) (Synermed). Presbyterian Health Plan (Commercial) (Provider ID is required. Contact (888) 923-5757, #6 then #2 to obtain ID. New Mexico Providers only.

AAG-American Administravie Group ( Formerly Icon Benefit Admin). National Capital Preferred Provider Organization (NCPPO) (Toobtain your provider ID number, please call the NCPPO Customer Service Department at (800) 272-5911) . Hartford Insurance Company of the Midwest (Wendy's Arby's Group ONLY). Legacy ID - (R): the Legacy ID (payer assigned provider ID) is required by the payer. South Central Preferred – PPO York, PA (IHS Gateway Payer) ( Contact Jane Grove for South Central Preferred (717) 851-6715.). Signature Health Alliance (Valid only for HCFA-1500 claims currently mailed to Signature Health Alliance, PO Box 22419, Nashville TN 37202-2419.).
American Administrators dba Select Benefit Administrators (W.DesMoines IA). Network Health Plan of Wisconsin, Inc.(Prior to initial claims submission, please contact Network Health Plan EDI specialist at 920-720-1506.
Asian Human Services Family Family Health Network patients only. Automotive Machinists Local 289 Health & Welfare Trust – Grp#F32. Dermatology Network Solutions, LLC Humana (Payer requires 11 digit member ID Number). Blue Cross Blue Shield of South Carolina - Planned Administrators Inc american independence auto insurance.
(ERA required to receive EFT). Neighborhood Health Plan of Rhode Island (Contact NHPRI 401-459-6030 to verify provider and vendor number understanding insurance companies.). Select Health of South Carolina (Provider ID required in Box33a.

Mid-West National Life Insurance Co insurance company payer id list. of Tennessee - Insurance Center. Valley Baptist Health Plan (This payer is only accepting claims with Dates of Service prior to 2-29-2004. For later claims send to First Care.

Cox Health Plan (Requires Provider ID in Box 33a. Contact Cox Health Plan for ID.). Payor Contact Name: (Not the customer division, must be person involved with the EDI process). Community Care Behavioral Health Org.

emdeon insurance payer id list

Please ensure that you have completed the appropriate Emdeon Provider Setup form and emailed it to:. Health First Health Plans (EFT required to receive ERA; ERA required to receive EFT). Sign up is simple. Dental providers can choose from the following options for EFT sign up: contact an Emdeon Dental Enrollment representative to start their enrollment.

S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Batch Claims Change/Delete Form - Changes to or deletions from existing enrollments insurance yuba city ca. Will the provider be charged any service fees for the EFT process?. Increase productivity through time-saving automation, batch processing and real-time eligibility and benefits verification emdeon insurance payer id list. U.S. The largest healthcare revenue and payment cycle network continues to grow! you and 340,000 other providers to 1,200 payers, the nation's largest healthcare revenue and payment cycle network. We're constantly adding new payers and new transactions to this network, giving you even greater reach for real-time eligibility and benefits verification and electronic claims connectivity for all available transactions today. The more payer connections you access through our network, the quicker you can begin receiving accurate reimbursements, reducing write-offs and improving first pass acceptance rates. Emdeon ePayment simplifies your claim reimbursement process to save you time and money.

Upon successful enrollment for the EFT service, there is a Payer defined transitional period (usually 45 days) during which EFT's will be deposited into the desired account(s) while delivery of the paper remittances is continued. At the end of this transitional period, the delivery of printed remittance advices will cease. Dental providers can temporarily change paper cut-off preferences by calling Emdeon Dental provider. See important co-pay and deductible information with easy-to-read benefits statements. Providers must enroll for Electronic Remittance Advice (ERA) when selecting Humana EFT.

We are working diligently to deliver solutions enabling our customers to meet HIPAA 5010 requirements seamlessly!. *Transaction types vary between payers and may not be applicable for all payers. Legacy ID - (O): the Legacy ID (payer assigned provider ID) is not required by the payer. Will the dental provider be able to access the associated remittance advice?.