Billing/Coding Revenue Cycle Management Medicare Advantage or Medicaid call 1-866-971-7427. ViaTrack / NextGen Find out More Prince Edward Island Romania ) Cuba Find, access, and login to your product application portal as a current customer. Research practitioners and facilities to view their participation status in our provider networks. Practice Insight Contact EAC Submissions Claim Support, ECP Payer List Quick Links! Healthcare Consulting Services COMMERCIAL. Etactics Project Management Antigua and Barbuda Martinique Contact TriZetto Claim Support, ViaTrack Payer List Quick Links! Eritrea Wisconsin Rwanda 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 Visit our other websites for Medicaid and Medicare Advantage. Patient Experience Solutions Contact G4Health Claims Support, Greenway Health Payer List Quick Links! ClaimMD Copyright 2023 - Premier Health Solutions, LLC. PHIcure Tanzania Denmark Florida Laboratory Albania Download the Trading Partner Agreement form (PDF, 59 KB). Payment Accuracy Solutions Trading partners who exchange electronic transactions directly with Blue Shield should consult our EDI Companion Guides for any Blue Shield-specific requirements. Portugal MedAssets 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). Participating Payor. China Bulgaria During every interaction, our team is transparent and honest, reliable and education-focused. Terms & Conditions, This is default text for notification bar, Workers Compensation, Auto and Personal Injury. Other, Bed Size Procurement/Purchasing/Supply Maryland Find out More. Virgin Islands France Healthcare Data & Analytics Solutions Heard/McDonald Isls. Serbia and Montenegro Availity Contact SoftCare Claim Support, SolAce EMC Quick Links! Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Pharmacy Solutions Brunei Darussalam No matter where your members start, we'll help you create a benefit portfolio that gets them to their future. Unsure, Company Type All the while, you can focus on growing your business and membership base. Uzbekistan These non-insured products make our plans more well-rounded and helpful for members. If you have any questions, please reach out to your Account Management Team. Office Manager Solomon Islands Renaissance Systems & Services LLC Alaska Czech Republic Latvia Wyoming Dominica Privacy Policy | Bahamas Training/Education Israel Note: This is the most likely cause if this rejection was received on claims for multiple patients. Eclaims was developed out of a passion for Healthcare EDI. Mauritius Burundi Net Healthclaim Services Jamaica Northwest Territories Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Ukraine Macau Sterling Option 1. Premier Health Solutions is their answer: an end-to-end benefits administration and management provider for association and small business insurance plans. 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. St. Pierre and Miquelon Idaho Payer Name Payer ID; P3 HEALTH PARTNERS NEVADA: P3HPN: P3 HEALTH PARTNERS-ARIZONA: 58375: PA HEALTH & WELLNESS: 68069: PA MEDICAID: . Mississippi Poland A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Keep yourself informed about Coronavirus (COVID-19.) Our partner organizations provide high-value benefits for your members. Pitcairn Physician COMMERCIAL. PracticeSuite Colorado Nicaragua Guinea Administrator Palau South Dakota Contact RelayHealth Claim Support, SoftCare Payer List Quick Links! Payer ID: C1SCA Cardiology Beyond this, we make commissions easy with full-service commission management. Georgia United States We currently administer products that are available in 29 states. Electronic Services Available (EDI) Need to submit transactions to this insurance carrier? Lithuania Cincinnati Insurance Payer ID: J1562; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: Electronic Attachments: YES: Need to submit transactions to this insurance carrier? Enroll in ERA and/or EFT: Contact Optum Claim Support, Payer Connection Payer List Quick Links! 1EDI Source Botswana Professional Institutional. Ohio C-Level United Kingdom These can vastly reduce a member's out-of-pocket costs, like direct-to-consumer lab services. Mexico A.W. Slovak Republic Emdeon Our goal is to make healthcare accessible for everyone. Our plans are truly made for today's families: flexible, affordable, and made to meet their unique needs. -- Other Locations -- We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare. Return completed form via fax or mail to: Contact the selected EDI clearinghouse to enroll and begin exchanging electronic transactions. You'll always know how our programs are affecting your bottom line and how you could improve them for your members. Fiji Chad Sierra Leone * Germany Togo Complete and return all parts of the Trading Partner Enrollment Packet to the address or fax number listed below. Malaysia Contact Etactics Claim Support, Experian Health Payer List Quick Links! Operations Contact us. Refer to www.Aetna.com under the Health Care Professionals link for additional payer sheets. South Carolina iHCFA Premier Health Solutions is an exclusive administrator for The Health Depot Association and Affiliated Workers Association. DownloadtheListofApprovedClearinghouses (PDF, 82KB). Electronic Dental Services Armenia 2023 MultiPlan Corporation. South Africa Clinical Interoperability Solutions Since 2012, we've worked with small businesses and membership associations to deliver innovative healthcare products to their members. Search Medicare - Virginia PayerID 11302 and find the complete info about Medicare - Virginia Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more We cultivate long-lasting partnerships with our network of agents, with training, licensing, and a reliable commission management program. Institutional/UB Claims. Secure .gov websites use HTTPSA Reunion India To exchange electronic transactions with Blue Shield through Office Ally and other clearinghouses, you must have an internet connection. 1292. Claims & Denials Because you need a professional medical billing services to help you manage your claims cycle effectively and save your staff time to assist you better towards quality patient care. Thank you for being a valued partner. Samoa Request New Payer. Contact ECP Claim Support, Emedixus Payer List Quick Links Contact Emedixus Claim Support, ENS Health Payer List Quick Links Contact ENS Claim Support, eSolutions Payer List Quick Resource Contact eSolutions Support, Etactics Payer List Quick Links! Benefit from thousands of electronic payer connections to streamline your claims processing and increase accuracy. Emergency Medical Service 43152: PREMIER BENEFITS INC: 43166: PREMIER EMPLOYEE SOLUTIONS LLC . Many of our business insurance products can work as primary or supplemental plans. Netherlands We're committed to having the most accurate and extensive payer lists in healthcare. 91151. Value-Based Care Solutions, Solution Type Contact MedAssets Claim Support, MedTran Direct Payer List Quick Links! LindTech EDI Billing Service Thailand The accuracy of the information is in no way guaranteed. www.changehealthcare.com. Estonia Through our carriers and agents, your members will be able to choose from the following. Djibouti El Salvador No: No authorization required for the Connectivity Type indicated. ApexEDI If you are interested in real-time inquiries, please contact your practice management system vendor or clearinghouse. HealthFusion Payer ID is for claims with Service Dates prior to May 1 2014. Uruguay Optum The annual flu vaccine helps prevent the flu. Montserrat Home Health Agency Job Function Enrollment French Southern Terr. Contact Health Logic Claims Support, HealthSmart Payer List Quick Links! MN - 55744 (Also see Medical Assistance Bulletin 99-18-08 ): Step 1: Review the claim to verify that it meets at least one of the above criteria. Wallis/Futuna Isls. Eclaims.com assumes no liability whatsoever for any errors or omissions in any content contained Claims with a Date of Service on or after May 1 2014 will reject for ACK/RETURNED - Claim . Nevada Board Member/Director/Trustee MD Online / MCC Republic Of We're committed to fostering strong and long-term relationships with our network of agents. Kuwait Bhutan Guam 43471. lock Belarus Sign up to get the latest information about your choice of CMS topics. Anesthesia Macedonia Austria Kazakhstan Paraguay We work with many industry-leading carriers to help expand their distribution channels. You are responsible for verifying any information before relying on it. Share sensitive information only on official, secure websites. Kenya N. Mariana Isls. Independent Practice Affiliated with Hospital Oregon Bahrain 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. -- Please Select -- These organizations are responsible for ensuring their own compliance with HIPAA dataset and transaction regulations, and for compatibility with payer edits. (NLH) Netcare Life and Health Insurance: 66055: Dental: Claims: Unknown: 1/8/2022: 1199 National . Iraq Texas Dental Xchange (866) 575-4120 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. 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. CopyrightCLAIM.MD All Rights Reserved. Sales/Business Development/Marketing Rhode Island Transparency & Provider Search 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. San Marino Nova Scotia Grenada Dental Qatar Quebec Contact ViaTrack Claim Support, Waystar Payer List Quick Links! General Management President All rights reserved. Too many families today lack basic access to healthcare or are priced out of traditional plans. Manager 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 EDI support furnished by Medicare contractors. Kyrgyzstan St. Vincent and Grenadines Greece Contact HealthcareData Claims Support, HealthEC Payer List Quick Links! United Kingdom Medical Network Solutions Trizetto Recondo Technology Monaco 879. New Hampshire Contact Health Fusion Claims Support, HealthLogic Payer List Quick Links! Sri Lanka Learn what we do to ensure your collection rate is always high, Check how you can uncover your revenue cycle leaks and gain insights instantly, Sign up now and take control of your revenue cycle today, 400, Wittman Drive This eligibility renewal work will begin in April and be spread out across 12 months. Step 2: Complete a claim form correctly (the claim form must be a signed original - no file copies or photocopies will be accepted). Change Healthcare 42162. Iceland Costa Rica Note- All information updated from reliable and authorized source of information and USA gov authorized web portals and other source of information like CMS , AAPC, AHA, etc. They come with additional benefits to further reduce your members' out-of-pockets costs. Somalia Radiology To do this, locate the claim in the client's Billing page and click the trash icon: Access the Electronic attachment payer list here. Indonesia Login to your community accounts to get product updates, ask questions, and learn best practices. Arkansas Spain Individual Contributor Your members and employees matter. Iran Tuvalu How to manage payment posting in eClinicalWorks, Deconstructing MIPS Quality Performance Score [Infographics], ICD-10 - What Experts Say about ICD 10 Transition. Member Engagement Solutions Missouri And, we help you manage your back-office tasks so you can focus on growing your business. Available for commercial, Shared Advantage, and BlueCard. Experian Health Senior Vice President Central African Republic Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. Pakistan Cte d'Ivoire Contact Experian Claims Support, FastEMC Payer List Quick Links! Malta Secondary Claims. Falkland Islands AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company . California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Emedixus Payer List - Quick Links - Contact Emedixus Claim Support; ENS Health Payer List - Quick Links - Contact ENS Claim Support; eProvider Solutions Payer List; eSolutions Payer List - Quick Resource - Contact eSolutions Support; Etactics Payer List - Quick Links! What is Payer ID on insurance card? If you would like direct connectivity, please download the EDI Companion Guide for Blue Shield-specific requirements and details on how to enroll. Cook Islands Finland Healthcare Information Exchange Utilize interactive tools to help you manage conditions, improve your health and save money. LindTech Contact Payer Connection Claim Support, Payer Gatewayplus Payer List Resources Contact Payer Gatewayplus Claim Support, PHIcure Payer List Quick Links! NHS Net Healthclaims Greenland Sweden Liberia Institutional and Professional Payor Claim Connections Including Payor IDs April 17, 2023 You can now file disputes, attach supporting documents, and retrieve letters for submitted disputes online! EDI support furnished by Medicare contractors. Guyana Cigna, BCBS, United Healthcare to receive claims.It allows healthcare providers and insurance systems to interchange data with each another for eligibility and benefits verification, claims submission, and to check status of claims. Hawaii Navicure Oman EAC Submissions If you are unable to view PDFs, please download Adobe Reader. Contact ClaimMD Claim Support, Apex EDI Payer List Quick Links! Go to Settings > Insurance. Turkmenistan Morocco Syria Brazil Emedix Brit/Indian Ocean Terr. We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. Seychelles Cardiology Chief Operating Officer Giving you the tools you need anytime you need them. These plans provide an alternative to costly, complicated traditional options. This means we handle resource-intensive tasks like the following. 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! Saudi Arabia State Trust Group. New Mexico Clinical Decision Support Solutions Vanuatu We are not an insurance company. You may also use this form to notify Blue Shield of a change in your clearinghouse or bank information. Hungary Trinidad and Tobago A member of our team will contact you to better understand your needs and discuss potential solutions. -- Please Select -- On top of this, we manage a robust distribution platform made up of agents across the country. Enroll in EDI and submit claims for free using Office Ally. Administrative/Human Resources Tajikistan PokitDok Provider Payment Management Solutions Tonga Georgia Argentina Military Americas HealthSmart 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. Box 659010, Sacramento, CA 95865-9010 Fraud Hotline: (800) 477-5908 SSI Claimant Value-Based Care Enablement Canada We know that many entrepreneurs or small business owners can't access traditional insurance. 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. Box 89476 Cleveland . West Virginia Nebraska You will automatically begin receiving EDI claims confirmation and standard reports. Aetna Payer Sheet Commercial Other Payer Patient Responsibility HIGHLIGHTS - Updates, Changes & Reminders This payer sheet refers to Commercial Other Payer Patient Responsibility (OPPR) Billing. Canada Chief Information Officer Other, Solution of Interest Director 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 Physician Practice Management United States Learn More Change Healthcare Attachment Payer List Access the Electronic attachment payer list here. EfficientC on this website. Blue Shield will send confirmation of your enrollment in electronic payments within 10 business days. Information Systems/Technology Zimbabwe, State/Location Russian Federation We use a mix of insured and non-insured products, and then monitor how your members use them over time. Korea (North) EHR Implementation/Management Bosnia and Herzegovina We help them toward a more secure future by providing affordable insurance benefits. Many leading insurance carriers choose to work with Premier Health Solutions because of our commitment to ethics. Venezuela Once you've found the payer, click Edit. PHS Privacy Policy - https://premierhsllc.com/phs-privacy-policy/. Please allow two weeks advance notice of any changes in your information to avoid interruptions to your service. Belize Grand Rapids Contact MedTran Claim Support, MD On-Line Payer List Quick Links! -- Please Select -- Contact Apex EDI Claim Support, Payer List For All Payer Exchange Clearinghouse Quick Resource, Office Ally Payer List Quick Links! Antarctica /content/dam/centene/wellcare/hi/images/OHP_012.jpg, Behavioral Health Toolkit for All Providers, Including Primary Care Physicians. We want everyone to Stay Well and Stay Covered. Payer ID 31053 is for State Farm - Health line of business. Already a customer? View our network today to connect with a payer or partner for all available transactions. Belgium Provider Network Optimization Solutions Xerox EDI Solutions Risk Adjustment and Quality Solutions YES. CLAIM.MD | Payer Information | Insurance Management Services Payer Information Insurance Management Services Payer ID: IMSMS This insurance is also known as: Insurance Management Services Amarillo TX IMS Other ID's: TH099, 15688, 12T64 Need to submit transactions to this insurance carrier?