AFTRA HEALTH FUND. Please use the following options: • Option 1 to request software • Option 2 to leave a voice mail that has not been submitted within the past 12 months. WorkCompEDI Payor List. Enter Amount from Schedule C-6, Line 11. Healthsource N. TX (CIGNA) COMMERCIAL. Fueled by more than 20 years of experience, our collective intelligence and payer data alongside AcciClaim™, MRA’s proprietary technology, give you the actionable insight you need so you can improve your workflow, increase your auto claim payments, and focus on the other 97% of your revenue. P. when submitting a production claim file. Submitter ID . 400, Wittman Drive Cahaba Health Benefit Administration (RHHI) IA : 00020 . 0000001809 00000 n Paramount ECS System Coordinator with questions at 419-887-2532 or toll free at -855-803-6777. 2. Fax: (803) 252-08. Clearinghouse Name Payer ID HIPAA Transaction Type Alveo (The Consult/ECP) PRMNT Professional ERA Athena Health 4198872500 Professional ERA Electronic claims submission . Enter the appropriate Payer ID (see Payer ID chart below). Claims Corner is an online claims information resource and an extension of the EmblemHealth Provider Manual.This is where notifications of claims policy changes are posted. 4. Do not distribute to outside parties without previous written approval from Abarca Health. 0000011061 00000 n Online approval takes 15 minutes. … 4. Click anywhere to close. Pre-Enrollment is required for Electronic Remittance Advice. Paper claims submission . Box 89476 Cleveland OH 44101-5476. 0 . Payer IDs A Payer ID is a five-character designator used to route your claim to the correct insurance carrier. Access your 1099-G by logging in to your account on your unemployment benefits portal.. A sample 1099-G is shown here: NOTE: The payer ID applies to all Paramount/ProMedica Medicareproduct lines. Department of Health and Human Services . 0000002498 00000 n United States, Eclipse insurance eligibility verification, Greenway patient eligibility verification, How to create and send secondary claims through eclinicalworks as batch, Most common challenges of medical billing outsourcing vs. in-house. Password. Payer ID. Alpha Care Medical Group NMM04 835 Alta Bates Medical Group A0701 837 AltaMed ALTAM 837 Effective 3/27/19, the new payer ID is ALTAM Payer ID: 0012800. Indicate the billing NPI. 803-931-8166. 75255. T. when submitting a test claim file. 0000002886 00000 n 875 27 Medicare . 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. Blue Card: (800) 713-4173. Other; Payer Name: BCBS Empire NY Payer ID: 803 Enrollment Required (ENR): No Type / Model: Commercial/Par State: NY . Payer ID#: 77023 TTY Access: 711 Mailing Address for Appeals & Grievances or Medical Management: Clover Health Harborside Financial Center Plaza 10 – Suite 803 Jersey City, NJ 07311 Include attachments (3) Services Requiring Prior Authorization Prior Authorization Form Part D Prior Authorization Form *Clover is the new name of CarePoint Advantage 1293. 3. Thank You for viewing the WorkCompEDI Payor List. 0000009390 00000 n ... 803-870-0163 EDIENROLL.PARTA@PalmettoGBA.com 803-870-0164 EDIENROLL.PARTB@PalmettoGBA.com . Palmetto GBA . %PDF-1.4 %���� Professional (CMS 1500) Real Time Eligibility (RTE): NO 1. Paramount ECS System Coordinator with questions at 419-887-2532 or toll free at -855-803-6777. Appeals (accompanied by required documentation) Division of Appeals and Hearings . When submitting to this payer ID please ensure the following: The claim is for a Medicaid, Child Health Plus, or Family Health Plus member and the subscriber ID is as printed on Member's ID Card. �S?�700�� ��x����%�S���屫,��X�$ ���,"��D?|h�``��ڠ��4ɧ�"u� ����i�y5����Ć�N[ ��t��d`�k�/���e%�f!� n!� Clearinghouse Name Payer ID HIPAA Transaction Type Alveo (The Consult/ECP) PRMNT Professional ERA Athena Health 4198872500 Professional ERA Mail all claims to the address on the back of the member’s ID card. ... 803-382-2416 . Go back to log in. 0000000016 00000 n 0000001305 00000 n Do not distribute to outside parties without previous written approval from Abarca Health. Fax takes 4 business days. For more information about disputing your 1099-G, you can download the user-guide here. State Processed. • Complete this form using group provider information as listed on file with the payer you wish to set up • Include the billing TAX ID and indicate whether it is a TIN/EIN or SSN.