DownloadtheListofApprovedClearinghouses (PDF, 82KB). They can also connect them with life-changing care, like patient advocacy programs. Optum Download the ePayments Provider Authorization form (PDF, 173KB). Singapore eProvider Solutions 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. Available for commercial, Shared Advantage, and BlueCard. 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. Transparency & Provider Search Electronic Remittance Advice are available in one business day and funds are deposited within two business days after your claims finalize. 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. Kansas Other, Country Member Engagement Solutions Revenue Cycle Management Please Select Guyana Georgia Enrollment Martinique Practice Insight Saskatchewan Minnesota Rhode Island United Arab Emirates Secure .gov websites use HTTPSA Doctor ApexEDI Namibia Dental Delta . If you have any questions, please contact your provider relations representative. Payer-assigned Payer ID:Payer ID assigned by the payer. Michigan Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Botswana Director Administrative/Human Resources Albania SSI Claimant Ukraine Find out More Nevada Senior Vice President Iceland Barbados Chief Operating Officer Please take note of our new Oahu office address! We help them toward a more secure future by providing affordable insurance benefits. 879. 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 Since 2012, we've worked with small businesses and membership associations to deliver innovative healthcare products to their members. State Farm Insurance Companies. lock Suriname Peru Faroe Islands State Trust Group. iHCFA Timor-Leste They address the needs of individuals and families who cant afford traditional major medical plans. Guam EfficientC Trizetto Indiana Christmas Island Premier Health Solutions offers a variety of primary and supplemental business insurance products. Sao Tome/Principe We make health insurance easier. Cocos (Keeling) Islands Payment Accuracy Solutions Montserrat Iowa You'll always know how our programs are affecting your bottom line and how you could improve them for your members. If you are unable to view PDFs, please download Adobe Reader. Pennsylvania Samoa GreyCat Studios, LLC. Belarus -- Please Select -- Bahamas Maryland Vermont Bahrain Organizations that submit more than 1,500 claims per month to Blue Shield of California may choose secure file transfer protocol (SFTP) using a direct connection with Blue Shield. Argentina Vendor Relationships Contact the EDI Helpdesk if you have questions or need help completing your forms: Healthcare Information Exchange Greenway Health land Islands Payer ID valid only for claims with billing submission address of P.O. lock Partner/Reseller Colorado Manager Provider Payment Management Solutions Information Systems/Technology Privacy Policy | Turkey Revenue Cycle Management Solutions Access the Electronic attachment payer list here. Louisiana Etactics Our new address X Premier Access Insurance Company Lockbox Services - #0134114 PO Box 884114 Los Angeles, CA 90088-4114 PLEASE USE THIS ADDRESS ONLY WHEN SENDING PAYMENTS VIA STANDARD MAIL. Experian Health Institutional/UB Claims. .gov Contact us. Djibouti Navicure Job Function Hong Kong Australia For example, members who are using their critical illness insurance benefits may find even more cost-savings from prescription coverage or discount prescription plans. Jordan EHR Implementation/Management Patient Financial Services These plans provide an alternative to costly, complicated traditional options. Exclude Nationwide Choose Transaction Type Claims Remittance Advice Real-time Eligibility Electronic COB Real-time Claim Status Claim Attachments Authorizations and Referrals Patient Responsibility Estimation Insurance Eligibility Discovery Show All Payers Added In. 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! Access our companion guides for trading partners who exchange electronic transactions with us. Grand Rapids Germany Laboratory Saint Kitts and Nevis Giving you the tools you need anytime you need them. Member Engagement Box 89476 Cleveland . MD Online / MCC To submit a 180-day exception request, you must complete the following steps. Pitcairn Finland This allows us to provide rich benefit packages at affordable rates for your members. Billing/Coding Electronic Services Available (EDI) Need to submit transactions to this insurance carrier? Learn More Change Healthcare Attachment Payer List Access the Electronic attachment payer list here. Israel You can decide how often to receive updates. Real-time eligibility & benefit and claim status inquiries are also available over secure http/s protocols. Eclaims was developed out of a passion for Healthcare EDI. Hospital/Health System We're continuously looking for innovative solutions to the barriers many people in the U.S. encounter when obtaining health insurance. Phone:(800) 480-1221. Dental Network Solutions Trinidad and Tobago Professional Institutional. 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 Aetna Senior Supplemental Insurance (Aetna SSI) Participating Payor. Oklahoma Comoros St. Pierre and Miquelon Contact Health Fusion Claims Support, HealthLogic Payer List Quick Links! Virginia website belongs to an official government organization in the United States. Copyright 2023 - Premier Health Solutions, LLC. Payer List 8,000+ payer connections can save time and money Benefit from thousands of electronic payer connections to streamline your claims processing and increase accuracy. Chief Technology Officer This means we handle resource-intensive tasks like the following. 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 Electronic Remittance Advice are available in one business day and funds are deposited within two business days after your claims finalize. We can likely add them. Other members struggle with high deductibles that their savings couldn't match. We use a mix of insured and non-insured products, and then monitor how your members use them over time. Gabon 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. Malaysia reliability of any content available through the website. Guadeloupe Medical Practice Management Gambia We connect your organization with affordable and custom-fit healthcare plans for today's families. Contact Availity Claim Support, Change Healthcare Payer List Quick Links! Search for your insurance payer by the payer's name or the payer ID. Board Member/Director/Trustee Marshall Islands YES. LindTech Prince Edward Island 881. . Bolivia Inetico Inc. COMMERCIAL. * Rwanda 43471. If there isn't an address, click + Address to add one. Medical Auditing They'll be able to contact our customer service team with their questions. Taiwan Read below to find out when to use a clearinghouse and when to connect directly with Blue Shield of California. We work with many industry-leading carriers to help expand their distribution channels. Sri Lanka We appreciate your interest in Change Healthcare. Department Chair Virgin Islands (British) 2023 Cognizant. Massachusetts An example is Office Ally, which offers free practice management software, and free set-up and training for your office staff. Contact Health Smart Claims Support, HeW Payer List Quick Links! R1 RCM Ontario Radiology Congo, The Dem. San Marino Contact ClaimMD Claim Support, Apex EDI Payer List Quick Links! Premier Health Solutions is their answer: an end-to-end benefits administration and management provider for association and small business insurance plans. These non-insured products make our plans more well-rounded and helpful for members. COMMERCIAL. 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 St. Helena Bulgaria Trust Click Save. 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? Mississippi Nebraska Cte d'Ivoire Missouri Nunavut Kenya Palau 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! Cyprus 880. Eritrea Describe the preferred method for the transmission of non electronic remittance? Angola Swaziland Uganda Egypt Bermuda Pakistan Ingham Health Plan Corporation. Return to Payer List. Greenland 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. Technology Sweden Nicaragua View your current quotes and finalize your order by logging into your Marketplace account. With our experience in all aspects of insurance management services, we can take on many of the time intensive back office tasks for you. Ecuador Enroll in ERA and/or EFT: Premier Health Solutions is committed to making healthcare easier. South Carolina Please select Contact ZirMed Claim Support. Contact Experian Claims Support, FastEMC Payer List Quick Links! Services COMMERCIAL. -- Please Select -- Sales/Business Development/Marketing General Management Vice President 1293. We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. McKesson Value-Based Care Enablement Bouvet Island Healthcare Data & Analytics Solutions Together, we are accelerating the journey toward improved lives and healthier communities. Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Tanzania Military Pacific Note: While every effort is made to keep all information up to date and accurate, all content found on Eclaims.com is intended to be a general information resource Chief Executive Officer Contact TriZetto Claim Support, ViaTrack Payer List Quick Links! Alabama Heard/McDonald Isls. We're a one-of-a-kind turnkey solution for your benefits administration and management needs. All Rights Reserved. Please allow two weeks advance notice of any changes in your information to avoid interruptions to your service. Zimbabwe, State/Location Medical Record Retrieval & Clinical Review Patient Access & Financial Clearance Solutions Professional Institutional. Our leadership team is made up of industry veterans who understand the many challenges organizations face when managing healthcare plans. Brit/Indian Ocean Terr. Consumer Payments & Communications We work with a variety of small businesses, as well as association and membership organizations to bridge this gap. Nauru There, they'll be able to make payments by credit card or ACH draft. In SimplePractice, only one primary claim can exist for an appointment. Individual Health Insurance Companies. Tonga 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. Go to Settings > Insurance. Manitoba Brazil We'll monitor this feedback, and how they're using their products, and send that information to you. Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. Emedix Participating Payor. Most common challenges of medical billing outsourcing vs. in-house, Simple steps for Secondary Claims Process through eclinicalworks EMR. Equatorial Guinea Clinical Interoperability Solutions Turks/Caicos Isls. Aetna TX Medicaid & CHIP. 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. Uruguay 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. Contact iHCFA Claims Support, Ingenix Payer List Quick Links! Sign up to get the latest information about your choice of CMS topics. Sierra Leone Box 659010, Sacramento, CA 95865-9010 Fraud Hotline: (800) 477-5908 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. 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. Fiji Risk Adjustment and Quality Solutions Spain Home Health Agency Reunion AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company . Dont see a payer on our list? Svalbard/Jan Mayen Isls. Our plans are benefit rich, but offered at competitive rates. These organizations are responsible for ensuring their own compliance with HIPAA dataset and transaction regulations, and for compatibility with payer edits. Submit service inquiries at your convenience, Gain access to our online claim entry tool, Access sample communications for your participants. Mexico 1292. Wisconsin Payer ID (also known as payor ID OR EDI) is a unique ID assigned to each insurance company e.g. Cameroon Italy New Mexico You may also use this form to notify Blue Shield of a change in your clearinghouse or bank information. We want everyone to Stay Well and Stay Covered. If there is an address but it needs to be edited, click on the existing address to make the necessary changes. And, we help you manage your back-office tasks so you can focus on growing your business. Contact Practice Insight Claim Support, RelayHealth Payer List Quick Links! ECP Creating an updated claim. 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. Contact Ingenix Claim Support, Infinedi Payer List Quick Links! Please update your records/provider management system to reflect the new payor ID: 91185. Venezuela Military Americas Refer to www.Aetna.com under the Health Care Professionals link for additional payer sheets. EDI support furnished by Medicare contractors. Your members can choose from products like short-term health insurance or term life insurance. C-Level Step 2: Complete a claim form correctly (the claim form must be a signed original - no file copies or photocopies will be accepted). . Radiology Contact MD On-Line Claim Support, Net Healthclaim Services Payer List Quick Links! West Virginia We currently administer products that are available in 29 states. New Zealand Search Medicare - New Jersey PayerID 12402 and find the complete info about Medicare - New Jersey Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more A member of our team will contact you to better understand your needs and discuss potential solutions. Czech Republic Kuwait Central African Republic SoftCare United States Physician Practice Management 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 Beyond this, we make commissions easy with full-service commission management. Contact Optum Claim Support, Payer Connection Payer List Quick Links! Member Eligibility & Enrollment Solutions EDI President Kazakhstan Morocco Costa Rica Luxembourg or Canada Already a customer? 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! Korea (North) Hungary Tennessee The annual flu vaccine helps prevent the flu. Thank you for being a valued partner. Marshall Islands Itasca County Ethiopia Contact MedTran Claim Support, MD On-Line Payer List Quick Links! Thailand New Caledonia LindTech EDI Claims & Denials -------------- French Guiana If you conduct business electronically, read about these two significant changes to HIPAA standard transactions and code sets. Contact Change Healthcare Claim Support, ClaimShuttle Payer List Quick Resource Claim Shuttle Payers, ClaimTek Payer List Quick Resource Claim Tek Payers, ClearPlus Payer List Resources Contact ClearPlus Claim Support, Cortex EDI Payer List Quick Links Contact CortexEDI Claim Support, DataLink Payer List Resources Contact DataLink Claim Support, DataTrans Payer List Quick Links Contact DataTrans Claims Support, EAC Payer List Quick Links! France ApexEDI Monaco Research practitioners and facilities to view their participation status in our provider networks. They come with additional benefits to further reduce your members' out-of-pockets costs. Change Healthcare Illinois Terms & Conditions, This is default text for notification bar, Workers Compensation, Auto and Personal Injury. Contact HealthcareData Claims Support, HealthEC Payer List Quick Links! Consulting Office Manager Care Management/Population Health PHS Privacy Policy - https://premierhsllc.com/phs-privacy-policy/. Claims with a Date of Service on or after May 1 2014 will reject for ACK/RETURNED - Claim . -- Please Select -- Contact Etactics Claim Support; Experian Health Payer List . Independent Practice Not Affiliated with Hospital Iraq South Africa 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. D.C. Washington 1EDI Source Quebec And, they'll benefit from our educational materials about their benefits and additional products that could help them. Learn more about our EDI Claim Confirmation Report (PDF, 740 KB). RelayHealth Current Trading Partners requesting updates to their EDI enrollment information should use the following forms to request updates. Alberta Canada Bangladesh Tajikistan ClaimRemedi Gibraltar Ingenix Maldives Explore our connections We currently administer products that are available in 29 states. 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. No matter where your members start, we'll help you create a benefit portfolio that gets them to their future. In an ever-changing industry, Premier Health Solutions manages the complexities of affordable health solutions for carriers, agents, associations and small businesses, so you can focus on 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. We cultivate long-lasting partnerships with our network of agents, with training, licensing, and a reliable commission management program. Republic Of 38692. MedAssets Wallis/Futuna Isls. ViaTrack / NextGen India Need to submit transactions to this insurance carrier? Estonia YES. Togo PokitDok Mozambique Grenada Enterprise Imaging Solutions Complete and return all parts of the Trading Partner Enrollment Packet to the address or fax number listed below. Agents connect individuals with life-changing healthcare options. Login to your community accounts to get product updates, ask questions, and learn best practices. ( French Polynesia Azerbaijan MedTranDirect Macau InstaMed Too many families today lack basic access to healthcare or are priced out of traditional plans. Lithuania By continuing to browse, you are agreeing to our use of cookies. Ghana 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. Pharmacy AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company 36273 837I. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Your members deserve innovative and affordable business insurance options.