(NLH) Netcare Life and Health Insurance: 66055: Dental: Claims: Unknown: 1/8/2022: 1199 National . WE ARE SALVASEN HEALTH We believe that wellness and healthcare should be affordable to everyone contact We are here to help Headquarters 10713 W. Sam Houston N. Suite 100 Houston, TX 77064 General Assistance: customerservice@salvasen.com Claims Status / Eligibility: claims@salvasen.com 877-707-1442 eProvider Solutions Complete and return the ePayments Provider Authorization form to authorize sending of electronic remittance advice (ERA) to a third party on your behalf, and designate a business account for direct deposit of your claim payments. Mexico Payer Information. AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company 36273 837I. Turkmenistan We provide end-to-end insurance management services throughout the United States. The annual flu vaccine helps prevent the flu. 200+, Practice Specialty Greenland Engineering/Technical Staff Download the List of Approved Clearinghouses (PDF, 82 KB) For Blue Shield of California Promise Health Plan providers: Get started today with one of these two approved clearinghouses: OfficeAlly Payer ID: C1SCA (866) 575-4120 www.officeally.com Change Healthcare Claims Payer ID: 57115 (866) 371-9066 www.changehealthcare.com Step 2 Chief Information Officer We act as an extension of your organization. We want everyone to Stay Well and Stay Covered. Professional Institutional. Turkey Niue 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. We know that many entrepreneurs or small business owners can't access traditional insurance. Or, your short-term health insurance members may love the flexibility of telemedicine appointments and direct-to-consumer lab services during their time of transition. Comoros Singapore PHIcure Manager Your members can choose from products like short-term health insurance or term life insurance. or Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Payer-assigned Payer ID:Payer ID assigned by the payer. An example is Office Ally, which offers free practice management software, and free set-up and training for your office staff. CopyrightCLAIM.MD All Rights Reserved. Contact Infinedi Claim Support, InstaMed Payer List Quick Links! If you conduct business electronically, read about these two significant changes to HIPAA standard transactions and code sets. -- Please Select -- AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company . Albania Institutional and Professional Payor Claim Connections Including Payor IDs April 17, 2023 MedAssets Hospital/Health System Contact InstaMed Claim Support, LindTech EDI Payer List Quick Links! Payer Connection Guyana Viet Nam DownloadtheListofApprovedClearinghouses (PDF, 82KB). Namibia Your online resource for healthcare regulations and standards. These could help manage the costs of a long-term illness. Pakistan Clinical Decision Support Solutions Independent Practice Affiliated with Hospital Claims with a Date of Service on or after May 1 2014 will reject for ACK/RETURNED - Claim . Aetna Payer Sheet Commercial Other Payer Patient Responsibility HIGHLIGHTS - Updates, Changes & Reminders This payer sheet refers to Commercial Other Payer Patient Responsibility (OPPR) Billing. Pacific Compensation Insurance Company (WC) J1913: Pacific Dental Services - CORVEL (AUTO) J1806: Pacific Dental Services - CORVEL (WC) . Share sensitive information only on official, secure websites. Bhutan Burkina Faso Wallis/Futuna Isls. Our goal is to make healthcare accessible for everyone. We help them toward a more secure future by providing affordable insurance benefits. Angola These plans provide an alternative to costly, complicated traditional options. Korea (North) Tanzania Cyprus Contact PHIcure Claim Support, Practice Insight Payer List Quick Links! . Venezuela These may include prescription discount programs or telemedicine appointments. And, they'll benefit from our educational materials about their benefits and additional products that could help them. Pharmacy Benefit Solutions Get started today with one of these two approved clearinghouses: OfficeAlly Quebec Payment Accuracy Solutions * What are the anesthesia CPTs for which reimbursements cuts are bound to happen? Search our Payer List by Payer Name, Payer ID, and Transaction Type. Current Trading Partners requesting updates to their EDI enrollment information should use the following forms to request updates. Engagement & Experience the everyday business of life. 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 Saudi Arabia Alaska Pharmacy Payer List Claimsnet Production Payer List Payer Name Type in the payer name you are searching for then hit the tab key. Revenue Cycle Management Yemen Canada Svalbard/Jan Mayen Isls. South Africa Nurse/Nursing Executive 38343. 13334. Contact Etactics Claim Support; Experian Health Payer List . United States, ensure your collection rate is always high, uncover your revenue cycle leaks and gain insights instantly. It's easy to exchange electronic transactions through an approved Electronic Data Interchange (EDI) clearinghouse or with Blue Shield of California directly through secure file transfer protocol. Thank you for being a valued partner. Cook Islands Norway Partner/Reseller Medicare Advantage or Medicaid call 1-866-971-7427. Value-Based Care Enablement land Islands Get an annual flu shot today. Procurement/Purchasing/Supply Georgia New Mexico D.C. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. Your members and employees matter. Holdings LLC Dba Benchmark - CT, FL, GA, IN, MD, MI, MO, NJ, NM, TN, VA - CORVEL, Access Community Health Network Chicago IL Family Health Network patients, Advanced Auto Parts - All states ExCEPT Tx MN, Advanced Medical Management - Seoul Medical Group, Advanced Medical Management - County Medical Services Program, Advanced Medical Management - Custody Medical Services, Advanced Medical Management - Emergency Medical Services Fund, Advanced Medical Management - Medical Safety Net, Advanced Medical Management - Sacramento Physicians Emergency Medical Services, Adventist Health System West-Roseville, CA, Adventist White Memorial-Crown City Medical Group, Aetna Better Health of Illinois/ IlliniCare, Aetna Senior Supplemental Insurance (Aetna SSI). Zimbabwe, State/Location Macau Important Note: Provider must be a Blue Shield of California certified provider to receive ERAs. Senegal For example, members who are using their critical illness insurance benefits may find even more cost-savings from prescription coverage or discount prescription plans. Other, Subscribe to Change Healthcare Communications. Morocco Administrative/Human Resources 43152: PREMIER BENEFITS INC: 43166: PREMIER EMPLOYEE SOLUTIONS LLC . Eliminating your vendor for one or more types of EDI transactions may allow you to reduce or avoid monthly fees or transfer delays and provides next-day access to Blue Shields detailed EDI validation reports. Xifin Qatar Avidity Healthcare Solutions Heard/McDonald Isls. Download the Trading Partner Agreement form (PDF, 59 KB). Germany Palestinian Territory, Occupied Medical Network Solutions Panama on this website. Recondo Technology Payer ID: 57115 Imaging Center Puerto Rico C-Level Virgin Islands (British) Other members struggle with high deductibles that their savings couldn't match. Blue Shields approved EDI clearinghouses typically offer a variety of services that can help reduce your administrative costs by increasing your office efficiency. Maryland Tesia, Four Ways a Clearinghouse Will Transform Your Billing Process, How Automation in Your Clearinghouse Makes Life Easier, Being Healthy is a Privilege, Not a Right, December Clearinghouse Questions of the Month, 7 Questions Every Practice Should Ask About ICD-10, ICD-10 Vendor Questions for Clearinghouses, The Pros and Cons of Swift Versus Prolonged Action, ClaimMD Payer List Quick Links! Jamaica MedTranDirect 91151. Antarctica Access our companion guides for trading partners who exchange electronic transactions with us. To establish a direct SFTP connection or enable exchange of additional types of EDI transactions with Blue Shield of California, follow these simple instructions: If you do not currently have a Trading Partner Agreement with Blue Shield of California, you must complete and return the Trading Partner Agreement to the address or fax number listed below. ) Haiti Return completed form via fax or mail to: Contact the selected EDI clearinghouse to enroll and begin exchanging electronic transactions. Get an annual flu shot today. Find yourproduct support portal. United States Refer to www.Aetna.com under the Health Care Professionals link for additional payer sheets. Mozambique During every interaction, our team is transparent and honest, reliable and education-focused. PokitDok Maine To add direct deposit to your account, or to enroll only in direct deposit, complete and return our ePayments Provider Authorization Form (PDF, 173 KB) or enroll online by following these instructions (PDF, 271 KB). InfinEDI Others may have a family history of a serious health condition, while some are looking for coverage in-between seasonal jobs or after their spouse gets laid off. San Marino Croatia Dont see a payer on our list? Marianas British Columbia EfficientC All rights reserved. ACA major medical insurance; Short term health insurance Chief Financial Officer St. Helena Xerox EDI Solutions Read below to find out when to use a clearinghouse and when to connect directly with Blue Shield of California. Contact Ingenix Claim Support, Infinedi Payer List Quick Links! Dominica Timor-Leste North Dakota New Zealand Most common challenges of medical billing outsourcing vs. in-house, Simple steps for Secondary Claims Process through eclinicalworks EMR. Patient Access & Financial Clearance Solutions We're committed to having the most accurate and extensive payer lists in healthcare. Box 89476 Cleveland . Payer Gatewayplus Laboratory Newfoundland and Labrador Uzbekistan French Southern Terr. No: No authorization required for the Connectivity Type indicated. Slovak Republic Your members will have an easy enrollment process. Individual Contributor Military Americas You are responsible for verifying any information before relying on it. To exchange electronic transactions with Blue Shield through Office Ally and other clearinghouses, you must have an internet connection. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Electronic Data Interchange System Access and Privacy, Electronic Data Interchange (EDI) Support, How to Enroll in Medicare Electronic Data Interchange, Administrative Simplification Compliance Act Enforcement Reviews, Administrative Simplification Compliance Act Self Assessment, Administrative Simplification Compliance Act Waiver Application, Health Care Payment and Remittance Advice, Institutional paper claim form (CMS-1450), Medicare Fee-for-Service Companion Guides. Blue Shield will send confirmation of your enrollment in electronic payments within 30 business days. Contact Greenway Claims Support, Healthcare Data Exchange Payer List Quick Links! Netherlands Antilles State Trust Group. WellCare Health Plans complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Guatemala Together, we are accelerating the journey toward improved lives and healthier communities. Lebanon Eritrea Georgia 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 Number is required and must be valid Rejection Details This rejection has three possible causes: The claim was submitted to the wrong payer ID. Tokelau Bouvet Island Payer Software Vendor Change Healthcare France SolAce EMC Value-Based Care Solutions, Solution Type Cameroon 880. Palau Copyright 2023 WellCare Health Plans, Inc. Weve moved! MD Online / MCC * Illinois If you have contacted us previously concerning this partnership inquiry, include a list of people within Change Healthcare with whom you have already been in contact. Jordan To learn how to use our system, review these materials: Intro to EDI, EFT and ERA - recorded webinar (59 minutes), Intro to EDI, EFT and ERA - presentation (PDF, 424 KB), EDI, EFT and ERA - frequently asked questions (PDF, 135 KB). Contact Optum Claim Support, Payer Connection Payer List Quick Links! -- Please Select -- Contact Availity Claim Support, Change Healthcare Payer List Quick Links! Northwest Territories Note that we do not handle claims management. COMMERCIAL. Then follow the steps to enroll. ECP Oman New Caledonia Contact us. COMMERCIAL. Uruguay General Management LindTech EDI Phone:(800) 480-1221. California EDI support furnished by Medicare contractors. Through our strong industry partnerships, you can expand your distribution channels to reach more customers. Available for commercial, Shared Advantage, and BlueCard. -------------- Utilize interactive tools to help you manage conditions, improve your health and save money. -- Other Locations -- Your members deserve innovative and affordable business insurance options. Paraguay Explore our connections Cocos (Keeling) Islands Trading partners who exchange electronic transactions directly with Blue Shield should consult our EDI Companion Guides for any Blue Shield-specific requirements. GreyCat Studios, LLC. Contact Apex EDI Claim Support, Payer List For All Payer Exchange Clearinghouse Quick Resource, Office Ally Payer List Quick Links! Healthcare Consulting Services California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Please take note of our new Oahu office address! Department Chair Sweden Payer ID (also known as payor ID OR EDI) is a unique ID assigned to each insurance company e.g. Suriname Puerto Rico Other, Solution of Interest We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare. COMMERCIAL. Idaho Bermuda An official website of the United States government Nepal France Rwanda Nunavut President * Contact RelayHealth Claim Support, SoftCare Payer List Quick Links! This allows us to provide rich benefit packages at affordable rates for your members. Physician -- Please Select -- Contact HeW Claims Support, iHCFA Payer List Quick Links! Participating Payor. Step 2: Complete a claim form correctly (the claim form must be a signed original - no file copies or photocopies will be accepted). Brazil If there isn't an address, click + Address to add one. North Carolina Copyright 2023 - Premier Health Solutions, LLC. The annual flu vaccine helps prevent the flu. Practice Insight Contact HealthEC Claims Support, HealthFusion Payer List Quick Links! Greenway Health 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 If your office submits less than 1,500 claims per month with Blue Shield of California, using an approved EDI clearinghouse is probably best for you. and is provided "AS IS". All rights reserved. Togo Contact Health Logic Claims Support, HealthSmart Payer List Quick Links! Tennessee Chief Quality Officer Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. -- Please Select -- Anesthesia Ghana Box 94928 Cleveland OH 44101-4928 or P.O. Please Select Eclaims was developed out of a passion for Healthcare EDI. Emedix Use our online Provider Portal or call 1-800-950-7040. 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. Cape Verde Keep yourself informed about Coronavirus (COVID-19.) ENS Health New York Premier Health Solutions is committed to making healthcare easier. website belongs to an official government organization in the United States. Sign up to get the latest information about your choice of CMS topics. Payer ID 31053 is for State Farm - Health line of business. Healthcare Information Exchange Pharmacy Solutions French Polynesia Optum Already a customer? YES. Please select Contact Practice Insight Claim Support, RelayHealth Payer List Quick Links! Contact Net Healthclaim Services Claim Support, Optum Payer List Quick Links! Electronic Data Interchange (EDI) clearinghouse, DownloadtheListofApprovedClearinghouses, Download the ePayments Provider Authorization form, Download the Trading Partner Agreement form, Download the Trading Partner Enrollment Packet, Visit our HIPAA 5010 and ICD-10 Implementation page. Montserrat Provider Network Optimization Solutions St. Vincent and Grenadines Tajikistan United States Executive Other, Country St. Pierre and Miquelon View your current quotes and finalize your order by logging into your Marketplace account. Patient Experience Solutions 1-199 38692. ViaTrack / NextGen Latvia Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. YES. Physician Practice Management Wyoming Agents connect individuals with life-changing healthcare options. Palau means youve safely connected to the .gov website. Creating an updated claim. Greenway Health Find forms and templates you may need to submit claims and encounters for Blue Shield Promise Medicare, Medi-Cal and Cal MediConnect patients. Project Management N. Mariana Isls. New Brunswick Technology Djibouti Contact MedAssets Claim Support, MedTran Direct Payer List Quick Links! Lesotho State Farm Insurance Companies. Too many families today lack basic access to healthcare or are priced out of traditional plans. Dental Delta Our Electronic Data Interchange (EDI) transaction and corresponding paper claims requirements; Links to those Chapters of the Medicare Claims Processing Manual (pub.100-04) that contain further information on these types of transactions; Our Health Insurance Portability and Accountability Act (HIPAA) contingency plans; The Administrative Simplification Compliance Act (ASCA) requirement that claims be sent to Medicare electronically as a condition for payment; How you can obtain access to Medicare systems to submit or receive claim or beneficiary eligibility data electronically; and. Denmark Contact ZirMed Claim Support. Ecuador Romania Vatican City Alabama This eligibility renewal work will begin in April and be spread out across 12 months. Micronesia Liberia COMMERCIAL. Contact TriZetto Claim Support, ViaTrack Payer List Quick Links! We also partner with some of the nation's leading insurance carriers to bring their products to market.