Vendor Name |
Contact Information |
Transaction Types
|
Plan ID/
Payer ID Numbers |
Subcontractor |
Availity |
Contact your Availity representative for
electronic claims information: 800-282-4548 |
Professional claims |
Health Plans = PHP01
PPO = PHP00 |
Change Healthcare |
*Capario/Emdeon |
www.Capario.com |
Professional claims
Institutional claims
Electronic Remittance Advice (ERA) |
Health Plans = PHP01
PPO = PHP00 |
|
CareVu |
Contact your CareVu representative for
electronic claims information:
www.healthsmart.com |
Professional claims |
Health Plans = PHP01
PPO = PHP00 |
Change Healthcare |
*Change Healthcare
Envoy/WebMD/Sage |
https://www.changehealthcare.com/support/customer-resources/enrollment-services
|
Professional claims
Institutional claims
Electronic Remittance Advice (ERA)
|
Health Plans = SX133
PPO = SX187 |
|
Claim Logic |
www.claimlogic.com |
Professional claims
Institutional claims
Electronic Remittance Advice (ERA)
|
Health Plans = SX133
PPO = SX187
|
Change Healthcare |
eClaims |
Contact your eClaims EDI representative for
electronic claims information: www.eClaims.com |
Professional claims |
Health Plans = PHP01
PPO = PHP00 |
Change Healthcare |
EDI Healthcare |
Contact EDI Healthcare for electronic claim
information: www.edihealthcare.com |
Professional claims |
Health Plans = PHP01
PPO = not set up |
Change Healthcare |
ENS |
Contact your ENS representative for
electronic claims information: www.enshealth.com |
Professional claims |
Health Plans = PHP01
PPO = PHP00 |
Change Healthcare |
ET&T |
www.ettch.com
|
Professional claims |
Health Plans = SX133
PPO = SX187 |
Change Healthcare |
*FCHN |
|
Professional claims
Institutional claims |
Washington providers =
91131 (not Vancouver) |
|
Gateway EDI/ Trizetto Provider Solutions |
Contact your Gateway EDI representative
for electronic claims information: www.gatewayedi.com |
Professional claims
Institutional claims
Electronic Remittance Advice (ERA)
|
Health Plans = PHP01
PPO = PHP00 |
|
GE Healthcare/Centricity/IDX |
Contact your GE Healthcare representative
for electronic claims information:
www.gehealthcare.com |
Professional claims |
Health Plans = SX133
PPO = SX137 |
Change Healthcare |
GHN
|
Contact GHN for electronic claim information: www.ghnonline.com
|
Professional claims
|
Health Plans = SX133
PPO = SX187 |
Change Healthcare
|
HeW
|
Contact HeW EDI representative for electronic claims information: www.hewedi.com/
|
Professional claims |
Health Plans = PHP01 |
Change Healthcare
|
Health Fusion |
|
Professional claims |
Health Plans = PHP01
PPO = PHP00 |
Change Healthcare
|
MCPS - Medical Claims
Processing Solutions |
mcp@mcps-inc.com
800-879-7534
|
Professional claims
Institutional claims
Electronic Remittance
Advice (ERA) |
Health Plans = ORD02
PPO = ORD14 |
Change Healthcare
|
Misys and PayerPath |
Contact Misys for electronic claim
information: |
Professional claims |
Health Plans = 000735
PPO = 001478 |
Change Healthcare
|
Navicure |
Contact Navicure for Providence payer IDs
www.navicure.com |
Professional claims |
Health Plans = P1238
PPO = 91186 |
Change Healthcare
|
*Office Ally |
866-575-4120
info@officeally.com |
Professional claims
Institutional claims
Electronic Remittance Advice (ERA)
|
Health Plans = PHP01
PPO = PHP00 |
|
*Payer Connection/VisiblEDI |
sales@payerconnection.com
or 503-820-3803 |
Professional claims
Institutional claims
Electronic Remittance Advice (ERA)
|
Health Plans = PHP01
PPO = PPOOR |
|
Payer Path/Allscripts |
See Misys |
|
|
|
Premera Blue Cross |
www.premera.com for detailed information |
Professional claims |
Health Plans = 00430 |
|
RealMed |
www.RealMed.com
877-732-5633 |
Professional claims |
Health Plans = SX133
PPO = SX187
|
Change Healthcare
|
RelayHealth/McKesson |
Contact your RelayHealth representative for
electronic claims information: www.RelayHealth.com |
Professional claims
Institutional claims
Electronic Remittance Advice (ERA)
|
Health Plans
Professional = 4498
Institutional = 1540
PPO
Professional = 2403
Institutional = 1915 |
Trizetto Provider Solutions |
*SSI Group |
www.TheSSIGroup.com
800-880-3032 |
Professional claims
Institutional claims
Electronic Remittance Advice (ERA)
|
Contact vendor for
Payer ID's. |
|
*Trizetto Provider Solutions |
Contact your Trizetto Provider Solutions representative for electronic claims information. |
Professional claims
Institutional claims
Electronic Remittance Advice (ERA)
|
Health Plans = PHP01
PPO = PHP00 |
|
WebMD/Envoy/Change Healthcare/Sage |
You need to fill
out an enrollment form: https://www.changehealthcare.com/support/customer-resources/enrollment-services
|
Professional claims
Electronic Remittance Advice (ERA)
|
Health Plans = SX133
PPO = SX187 |
Change Healthcare
|
ZirMed |
Contact ZirMed for electronic claim
information: 877-494-7633 or
info@zirmed.com |
Professional claims
Institutional claims |
Health Plans = PHP01
PPO = PHP00 |
|