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Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 13162 1199 NATIONAL BENEFIT FUND CI Prof N Y N Y 13162 1199 NATIONAL BENEFIT FUND - INST CI Inst N N N N J1585 1ST AUTO AND CASUALTY WC Prof N N N N J1585 1ST AUTO AND CASUALTY (AUTO ONLY) AM Prof N N N N 41556 21ST CENTURY INSURANCE WC Prof N N N N 41556 22125 ROSCOE CORP WC Prof N N N N 93044 A I BENEFIT PLAN ADMINISTRATORS CI Prof N N N N 93044 A I BENEFIT PLAN ADMINISTRATORS - INST CI Inst N N N N 11983 AAA MINNESOTAIOWA (AUTO) AM Prof N N N N 41556 AAA NORTHERN CALIFORNIA, NEVADA AND UTAH INSURANCE EXCHANGE WC Prof N N N N 36273 AARP MEDICARE SUPPLEMENTAL - UNITED HEALTHCARE CI Prof Y Y N Y 36273 AARP MEDICARE SUPPLEMENTAL - UNITED HEALTHCARE INST CI Inst Y N N Y 41556 ABC CONST COMPANY WC Prof N N N N 48185 ABC HEALTH PLAN CI Inst N N N N 48185 ABC HEALTH PLAN OF NEW YORK NY CI Prof N N N N E3510 ABMA MEDICAL CORPORATION CA CI Prof N N N N 68055 ABSOLUTE TOTAL CARE - SC SC CI Prof N Y N Y 68055 ABSOLUTE TOTAL CARE - SC INST SC CI Inst N N N Y J1477 ACADIA INSURANCE COMPANY WC Prof N N N N AHS01 ACCESS ADMINISTRATORS CI Prof N N N N TLZ17 ACCESS ADMINISTRATORS (CA ONLY) CI Dental N N N N COACC ACCESS HEALTH BENEFIT SOLUTIONS (AHBS) CO CI Prof N N N N A1680 ACCESS HEALTH PLAN (MI) MI CI Prof N N N N AMG01 ACCESS MEDICAL GROUP (CA) CA CI Prof N N N N AMM06 ACCESS MEDICAL GROUP (SANTA MONICA) CA CI Prof N N N N 19305 ACCESS MEDICARE - CUATRO CI Prof N N N N 64071 ACCLAIM CI Prof N N N N 64071 ACCLAIM INST CI Inst N N N N 21356 ACCLAIM REPRICING - INST CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status IAC01 ACCOUNTABLE HEALTH PLAN CI Inst N N N N IAC01 ACCOUNTABLE HEALTH PLAN CI Prof N N N N MPM23 ACCOUNTABLE HEALTHCARE IPA (MPM) CI Prof N N N N AHIPA ACCOUNTABLE IPA CI Prof N N N N J1024 ACCURIDE CORPORATION WC Prof N N N N 41556 ACE PROPERTY AND CASUALTY INS CO WC Prof N N N N TLX81 ACEC HEALTH PLANS (SALT LAKE CITY, UT) CI Dental N N N N J1578 ACIG INSURANCE COMPANY WC Prof N N N N J1578 ACIG INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 87066 ACMG FKA FORMAX INC CI Prof N N N N 72467 ACS BENEFIT SERVICES INC CI Prof N Y N Y 38254 ACTIVA BENEFIT SERVICES, LLC CI Inst N N N N 38254 ACTIVA BENEFITS CI Prof N N N N 38254 ACTIVA BENEFITS CI Prof N N N N J1240 ACUITY, A MUTUAL INSURANCE COMPANY WC Prof N N N N J1667 AD-COMP (AUTO ONLY) AM Prof N N N N J1690 ADELANTO SCHOOL DISTRICT (CA) (AUTO ONLY) AM Prof N N N N 95285 ADMAR CORPORATION MED NETWORK CI Prof N N N N J1241 ADMINISTAFF WC Prof N N N N 22384 ADMINISTRATIVE CONCEPTS CI Prof N N N Y 59141 ADMINISTRATIVE SERVICES INC (ASI) CI Prof N Y N N CX076 ADMINISTRATIVE SERVICES ONLY (ASO) SELF INSURED DENTAL SERVICES (NY) CI Dental N N N N 37278 ADMINONE CI Inst N N N N 37278 ADMINONE CI Prof N N N N 22384 ADMINSTRATIVE CONCEPTS, INC INST CI Inst N N N N J1242 ADP TOTAL SOURCE INC WC Prof N N N N J1608 ADVANCE SERVICES, INC (AUTO ONLY) AM Prof N N N N 58202 ADVANCED DATA SOLUTIONS CI Prof N N N N 68056 ADVANTAGE BY BRIDGEWAY HEALTH SOLUTIONS AZ CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 68056 ADVANTAGE BY BUCKEYE COMMUNITY HEALTH OH CI Prof N Y N Y 68056 ADVANTAGE BY MANAGED HEALTH SERVICES IN CI Prof N Y N Y 68056 ADVANTAGE BY SUPERIOR HEALTH PLAN TX CI Prof N Y N Y ACIPA ADVANTAGE CARE IPA CI Prof N N N N 93524 ADVANTAGE DENTAL PLAN CI Dental N N N N 35209 ADVANTAGE HEALTH SOLUTIONS CI Prof N Y N N 35219 ADVANTAGE HEALTH SOLUTIONS (DUNMORE, PA) CI Prof N N N N 35219 ADVANTAGE HEALTH SOLUTIONS (DUNMORE, PA) -INST CI Inst N N N N 83077 ADVANTEK BENEFIT ADMINISTRATORS CI Prof N N N Y 83077 ADVANTEK BENEFIT ADMINISTRATORS INST CI Inst N N N Y 43168 ADVANTICA DENTAL (FKA ESSEX) CI Dental N N N N 59374 ADVANTICA EYE CARE CI Prof N N N N 25141 ADVANTRA GHP CI Prof N N N Y 95340 ADVENTIST HEALTH SYSTEM CI Prof N N N N 13373 ADVICA NEW YORK HOSPITAL COMMUNITY HEALTH PLAN CI Prof N N N N 45423 ADVICARE CI Prof N N N N 45423 ADVICARE INST CI Inst N N N N 36320 ADVOCATE HEALTH CENTERS IL CI Prof N N N Y 36320 ADVOCATE HEALTH CENTERS INST CI Inst N N N N 65093 ADVOCATE HEALTH PARTNERS IL CI Prof N N N Y 65093 ADVOCATE HEALTH PARTNERS - INST CI Inst N N N N AEGIS AEGIS SECURITY - AMERICAN SENTINEL CI Prof N N N N 60054 AETNA CI Prof Y Y N Y 60054 AETNA CI Prof Y N N Y 60054 AETNA - INST CI Inst Y N N Y 57604 AETNA AFFORDABLE HEALTH CHOICES - SRC CI Prof N N N N 57604 AETNA AFFORDABLE HEALTH CHOICES - SRC - INST CI Inst N N N Y 26337 AETNA BETTER HEALTH - ILLINOIS MEDICAID IL CI Prof N Y N Y 26337 AETNA BETTER HEALTH - ILLINOIS MEDICAID - INST IL CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 128KY AETNA BETTER HEALTH - KENTUCKY KY CI Prof N Y N Y 128KY AETNA BETTER HEALTH - KENTUCKY INST KY CI Inst N N N N 128LA AETNA BETTER HEALTH - LOUISIANA LA CI Prof N Y N Y 128LA AETNA BETTER HEALTH - LOUISIANA INST LA CI Inst N N N N 128MI AETNA BETTER HEALTH - MICHIGAN MI CI Prof N Y N Y 128MO AETNA BETTER HEALTH - MISSOURI MO CI Prof N Y N Y 128MO AETNA BETTER HEALTH - MISSOURI INST MO CI Inst N N N N 42130 AETNA BETTER HEALTH - NEBRASKA NE CI Prof N Y N Y 42130 AETNA BETTER HEALTH - NEBRASKA - INST NE CI Inst N N N N 46320 AETNA BETTER HEALTH - NEW JERSEY NJ CI Prof N Y N Y 46320 AETNA BETTER HEALTH - NEW JERSEY - INST NJ CI Inst N N N N 34734 AETNA BETTER HEALTH - NEW YORK MEDICAID NY CI Prof N Y N Y 34734 AETNA BETTER HEALTH - NEW YORK MEDICAID - INST NY CI Inst N N N N 50023 AETNA BETTER HEALTH - OHIO OH CI Prof N Y N Y 50023 AETNA BETTER HEALTH - OHIO - INST OH CI Inst N N N N 23228 AETNA BETTER HEALTH - PENN MEDICAID PA CI Prof N Y N Y 23228 AETNA BETTER HEALTH - PENN MEDICAID INST PA CI Inst N N N N 38692 AETNA BETTER HEALTH - TEXAS MEDICAID CHIP TX MC Prof N Y N Y 38692 AETNA BETTER HEALTH- TEXAS MEDICAID CHIP INST TX CI Inst N N N N 60054 AETNA DENTAL CI Dental N N N Y 68246 AETNA DMO CI Dental N N N N 60054 AETNA HMO CI Prof Y N N Y 60054 AETNA MANAGED CHOICE CI Prof N N N Y 60054 AETNA PDO (PREFERRED DENTAL ORGANIZATION) CI Dental N N N N 60054 AETNA US HEALTHCARE CI Prof N N N Y B0054 AETNA WITH AETNA ID REQ CI Prof N N N Y ADOCS AFFILIATED DOCTORS ORANGE COUNTY CA CI Prof N N N N 23334 AFFINITY ESSENTIALS CI Prof N N N N 13334 AFFINITY HEALTH PLAN - MEDICAID CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 13334 AFFINITY HEALTH PLAN - MEDICAID - INST CI Inst N N N N 13333 AFFINITY HEALTH PLAN - MEDICARE CI Prof N Y N Y 46594 AFFINITY MEDICAL GROUP (CA) CA CI Prof N N N N 95426 AFFORDABLE BENEFIT ADMINISTRATORS INC CI Prof N N N N 34444 AFL CIO FOOD BEV TRUST HOS CI Inst N N N N 34444 AFLCIO FOOD BEVERAGE DEALERS TRUST FUND OH CI Prof N N N N 13346 AFTRA HEALTH FUND (DOS THRU 12-31-2014) NY CI Prof N Y N N 13346 AFTRA HEALTH FUND INST (DOS THRU 12-31-2014) CI Inst N N N N 37280 AGA CI Inst N N N N LIPA1 AGATE RESOURCES INC (LIPA) CI Prof N N N N AWNY6 AGEWELL NEW YORK NY CI Prof N N N N 95241 AGIA INC CI Inst N N N N 31138 AHPO CI Prof N N N N STMSS AHS STATE NETWORK - MISSISSIPPI STATE TEACHERS MS CI Prof N Y Y Y 19402 AIG WC Prof N N N N 22195 AIG EDUCATIONAL MARKETS CI Prof N N N N 22195 AIG EDUCATIONAL MARKETS - INST CI Inst N N N N 6311 ALABAMA MEDICAL SURGICAL ASSOCIATES CI Prof N N N N IP108 ALAMEDA ALLIANCE CI Prof N Y N N AIPAZ ALAMITOS IPA CA CI Prof N N N N 91136 ALASKA CARPENTERS TRUST CI Inst N N N N 91136 ALASKA CHILDRENS SERVICES CI Prof N N N N 91136 ALASKA CHILDRENS SERVICES, INC CI Inst N N N N 92600 ALASKA ELECTRICAL HEALTH WELFARE FUND AK CI Inst N N N N 92600 ALASKA ELECTRICAL HEALTH WELFARE FUND AK CI Prof N N N N 91136 ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST CI Inst N N N N 91136 ALASKA LABORERS CONSTRUCTION INDUSTRY TRUST GRP F23 CI Prof N N N N J1577 ALASKA NATIONAL INSURANCE WC Prof N N N N J1577 ALASKA NATIONAL INSURANCE (AUTO ONLY) AM Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 91136 ALASKA PIPE TRADES LOCAL 375 CI Inst N N N N 91136 ALASKA PIPE TRADES LOCAL GRP F24 CI Prof N N N N 91136 ALASKA UNITED FOOD COMMERCIAL WORKERS CI Inst N N N N 91136 ALASKA UNITED FOOD COMMERCIAL WORKERS HEALTH WELFARE TRUST GRP F45 CI Prof N N N N J1244 ALCOA FASTENERS SYSTEMS WC Prof N N N N 13550 ALICARE CI Prof N N N Y 13550 ALICARE INST CI Inst N N N Y 58213 ALIGNIS CI Prof N N N N 39160 ALL SAINTS COVENANT CI Inst N N N N 81400 ALL SAVERS INSURANCE (UNITEDHEALTHONE) CI Prof Y Y N Y 81400 ALL SAVERS INSURANCE (UNITEDHEALTHONE) - INST CI Inst Y N N Y AC101 ALLCARE IPA CI Prof N N N N 26158 ALLCARE PEBB OR CI Prof N N N N 26158 ALLCARE PEBB - INST OR CI Inst N N N N J1245 ALLEGHENY TECHNOLOGIES WC Prof N N N N 81040 ALLEGIANCE BENEFIT PLAN MANAGEMENT CI Prof N Y N Y 81040 ALLEGIANCE BENEFIT PLAN MANAGEMENT - INST CI Inst N N N Y 99588 ALLEGIANCE HEALTH MANAGEMENT CI Prof N N N N 99588 ALLEGIANCE HEALTH MANAGEMENT INST CI Inst N N N N ADSL1 ALLIANCE - ALPHA CARE GOLD CI Prof N N N N 23071 ALLIANCE BEHAVIORAL HEALTH CI Prof N N Y Y 23071 ALLIANCE BEHAVIORAL HEALTH - INST CI Inst N N Y Y 96218 ALLIANCE HEALTH NETWORK INST CI Inst N N N N 23251 ALLIANCE HEALTH PLAN PENNSYLVANIA PA CI Prof N N N N 23251 ALLIANCE HEALTH PLAN (PA) CI Inst N N N N 13079 ALLIANCE HEALTHCARE SRRIPA CI Prof N N N N 22417 ALLIANCE PHYSICIANS OF THE HIGH DESERT CA CI Prof N N N N 52149 ALLIANCE PPO CI Prof N N N N 87726 ALLIANCE PPO, LLC CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 81400 ALLIANCE SELECT CI Prof N N N Y 88461 ALLIANCE, THE (A WISCONSIN PROVIDER NETWORK) CI Inst N N N N 88461 ALLIANCE, THE (A WISCONSIN PROVIDER NETWORK) CI Prof N N N N J1619 ALLIANT ENERGY (AUTO ONLY) AM Prof N N N N 58234 ALLIANT HEALTH PLANS OF GEORGIA GA CI Prof N N N N 58234 ALLIANT HEALTH PLANS OF GEORGIA - INST GA CI Inst N N N N J1452 ALLIANZ WC Prof N N N N 37308 ALLIED BENEFIT SYSTEMS CI Inst N N N Y 37308 ALLIED BENEFIT SYSTEMS CI Prof N Y N Y J1733 ALLIED CLAIMS ADMINISTRATION, INC WC Prof N N N N J1550 ALLIED INSURANCE COMPANIES WC Prof N N N N J1550 ALLIED PROPERTY AND CASUALTY INS CO WC Prof N N N N J1589 ALLMERICA FINANCIAL BENEFITS INSURANCE COMPANY WC Prof N N N N J1589 ALLMERICA FINANCIAL BENEFITS INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N C1037 ALLSTATE - EXCEPT NEW JERSEY (AUTO ONLY) AM Prof N N N N 77066 ALLSTATE INSURANCE COMPANY CI Prof N N N N 77083 ALLSTATE WORKPLACE - AMERICAN HERITAGE LIFE CI Prof N N N N ALOHA ALOHACARE - INST HI CI Inst N N Y N ALOHA ALOHACARE MEDICARE ADVANTAGE HI CI Prof N Y Y N ALQST ALOHACARE QUEST MEDICAID HI MC Prof N Y Y N ADSYS ALPHA DATA SYSTEMS CI Prof N N N N 75261 ALPHA DATA SYSTEMS - WEB TPA CI Prof N N N N ALPHA ALPHACARE CI Prof N N N N 87043 ALTA HEALTH STRATEGIES - COVENTRY CI Inst N N N Y 87043 ALTA HEALTH STRATEGIES - COVENTRY CI Prof N N N Y 41556 ALTA HEALTHCARE WC Prof N N N N E3510 ALTA SENIOR CARE CA CI Prof N N N N IP080 ALTAMED CA CI Prof N N N N 25133 ALTIUS HEALTH PLAN (COVENTRY) UT CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 50503 ALTUS DENTAL CI Dental N N N N J1025 ALVEY SYSTEMS (AON RISK) WC Prof N N N N J1248 ALVEY SYSTEMS (AON RISK) (AUTO ONLY) AM Prof N N N N TH071 AMA INSURANCE AGENCY CI Prof N N N N 13550 AMALGAMATED LIFE CI Prof N N N Y 13550 AMALGAMATED LIFE - INST CI Inst N N N N 68069 AMBETTER FROM BUCKEYE HEALTH PLAN OH CI Prof N N N N 68069 AMBETTER FROM CELTICARE MA CI Prof N N N N 68069 AMBETTER FROM COORDINATED CARE WA CI Prof N N N N 68069 AMBETTER FROM MAGNOLIA HEALTH SERVICES MS CI Prof N N N N 68069 AMBETTER FROM MANAGED HEALTH SERVICES CI Prof N Y N N 68069 AMBETTER FROM PEACH STATE HEALTH PLAN GA CI Prof N N N N 68069 AMBETTER FROM SUNSHINE HEALTH PLAN FL CI Prof N N N N 68069 AMBETTER FROM SUPERIOR HEALTH PLAN TX CI Prof N N N N 68069 AMBETTER OF ARKANSAS AR CI Prof N Y N N 76061 AMCARE OF LOUISIANA CI Inst N N N N 76061 AMCARE OF OKLAHOMA CI Inst N N N N 76061 AMCARE OF TEXAS CI Inst N N N N J1550 AMCO INS CO WC Prof N N N N 38219 AMERAPLAN CI Prof N N N Y 75137 AMERIBEN SOLUTIONS CI Prof N Y N Y 75137 AMERIBEN SOLUTIONS - INST CI Inst N N N Y J1427 AMERICA FIRST WC Prof N N N N 26378 AMERICAID AMERIGROUP (MARYLAND) INST MD CI Inst N N N Y 26378 AMERICAID AMERIGROUP (NEW JERSEY) INST NJ CI Inst N N N Y 26378 AMERICAID AMERIGROUP (NEW MEXICO) INST NM CI Inst N N N Y 75240 AMERICAN ADMINISTRATIVE GROUP CI Inst N N N N 75240 AMERICAN ADMINISTRATIVE GROUP - AAG - UICI CI Prof N N N N 63103 AMERICAN BEHAVIORAL CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 63106 AMERICAN BEHAVIORAL FED-ITS CI Prof N N N N 95170 AMERICAN BENEFIT PLAN ADMINISTRATORS CI Prof N N N N ACN01 AMERICAN CHIROPRACTIC NETWORK CI Prof N N N N J1236 AMERICAN CLAIMS MANAGEMENT (ACM) WC Prof N N N N J1236 AMERICAN CLAIMS MANAGEMENT (ACM) (AUTO ONLY) AM Prof N N N N J1026 AMERICAN COIN MERCHANDISING, INC WC Prof N N N N 37128 AMERICAN COMMERCIAL BARGE LINES CI Prof N N N N 37128 AMERICAN COMMERCIAL BARGE LINES - INST CI Inst N N N N 37128 AMERICAN COMMERCIAL LINES CI Prof N N N N J1027 AMERICAN CYANAMID WC Prof N N N N IP080 AMERICAN FAMILY HEALTH PROVIDERS CA CI Prof N N N N TH095 AMERICAN FAMILY INSURANCE GROUP CI Prof N Y N N 56071 AMERICAN FAMILY PPO POLICIES CI Prof N N N N 41556 AMERICAN FURNITURE WAREHOUSE WC Prof N N N N 62030 AMERICAN GENERAL CI Prof N N N N 62030 AMERICAN GENERAL - INST CI Inst N N N N 1066 AMERICAN HEALTH ALLIANCE CI Prof N N N N 1066 AMERICAN HEALTH ALLIANCE INST CI Inst N N N N 66065 AMERICAN HEALTH MEDICARE (AHM) PR MB Prof N Y N Y J1250 AMERICAN HOME CRAFT WC Prof N N N N J1250 AMERICAN HOME CRAFT (AUTO ONLY) AM Prof N N N N 36369 AMERICAN IMAGING MANAGEMENT, INC CI Inst N N N N 81949 AMERICAN INSURANCE COMPANY OF TEXAS CI Prof N N N N 41556 AMERICAN LIBERTY INSURANCE COMPANY WC Prof N N N N 23212 AMERICAN MEDICAL AND LIFE INSURANCE CI Prof N N N N 81400 AMERICAN MEDICAL SECURITY CI Prof Y N N Y 81400 AMERICAN MEDICAL SECURITY - INST CI Inst N N N Y J1524 AMERICAN MINING INSURANCE GROUP, LLC WC Prof N N N N 74048 AMERICAN NATIONAL INS CO (ANICO) CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 74048 AMERICAN NATIONAL INS CO (ANICO) - INST CI Inst N N N N 44444 AMERICAN POSTAL WORKERS UNION CI Prof N Y N Y 44444 AMERICAN POSTAL WORKERS UNION - INST CI Inst N N N N 60801 AMERICAN PUBLIC LIFE (APL) CI Prof N N N N 42011 AMERICAN REPUBLIC INSURANCE CO CI Prof N Y N Y 42011 AMERICAN REPUBLIC INSURANCE CO - INST CI Inst N N N Y 17965 AMERICAN SENTINEL INSURANCE CI Prof N N N N J1028 AMERICAN SPECIALTY COMPANIES WC Prof N N N N ASH01 AMERICAN SPECIALTY HEALTH CI Prof N N N N J1029 AMERICAN SPECIALTY INS MIB WC Prof N N N N ATHAL AMERICAN THERAPY ADMINISTRATORS (ATA) CI Prof N N N N 37322 AMERICAN WORKER HEALTH PLUS CI Prof N N N N 20553 AMERICAS 1ST CHOICE HEALTH PLANS - SOUTH CAROLINA CI Prof N N N Y 20553 AMERICAS 1ST CHOICE HEALTH PLANS - SOUTH CAROLINA - INST CI Inst N N N Y 55649 AMERICAS 1ST CHOICE OF SOUTH CAROLINA INC CI Prof N N N N 55349 AMERICAS 1ST CHOICE OF SOUTH CAROLINA INC - INST CI Inst N N N N 20029 AMERICAS CHOICE HEALTH PLANS NMA CI Prof N N N Y 20029 AMERICAS CHOICE HEALTH PLANS NMA - INST CI Inst N N N Y ARAZ AMERICAS PPO CI Inst N N N N 16120 AMERICAS PPO CI Prof N N N N 86048 AMERICHOICE NEW YORK CHILD HEALTH PLUS THRU 8-31-2013 NY CI Prof N N N Y 86048 AMERICHOICE NEW YORK MEDICAID INST THRU DOS 8-31-2013 NY CI Inst N N N N 86048 AMERICHOICE NEW YORK MEDICAID THRU DOS 8-31-2013 NY CI Prof N N N Y 86002 AMERICHOICE NEW YORK PERSONAL CARE PLUS THRU 8-31-2013 NY CI Inst N N N Y 86002 AMERICHOICE NEW YORK PERSONAL CARE PLUS THRU 8-31-2013 NY CI Prof N N N Y 86049 AMERICHOICE PENNSYLVANIA MEDICAID INST PA CI Inst N N N Y 86003 AMERICHOICE PENNSYLVANIA PERSONAL CARE PA CI Inst N N N Y 86003 AMERICHOICE PENNSYLVANIA PERSONAL CARE PLUS PA CI Prof N N N Y 26375 AMERIGROUP CI Prof Y N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 28809 AMERIGROUP FLORIDA FL CI Prof Y Y N Y 28808 AMERIGROUP ILLINOIS IL CI Prof Y Y N Y 28804 AMERIGROUP MARYLAND DC MD CI Prof Y Y N Y 28804 AMERIGROUP NEW JERSEY NJ CI Prof Y Y N Y 26375 AMERIGROUP (AUSTIN DFW) TX CI Prof Y N N Y 26375 AMERIGROUP (AUSTIN DFW) - INST TX CI Inst N N N Y 26375 AMERIGROUP (FT WORTH) TX CI Prof Y N N Y 26374 AMERIGROUP (HOUSTON CORPUS SA) TX CI Prof Y Y N Y 26374 AMERIGROUP (HOUSTON CORPUS SA) - INST TX CI Inst N N N Y 26378 AMERIGROUP - INST CI Inst N N N Y 26375 AMERIGROUP - MULTI STATES CI Prof Y Y N Y 27514 AMERIGROUP COMMUNITY CARE KS CI Prof Y Y N Y 27514 AMERIGROUP COMMUNITY CARE - INST KS CI Inst N N N N 26375 AMERIGROUP COMMUNITY CARE NEVADA INST NV CI Inst N N N N CX014 AMERIGROUP DENTAL CI Dental N N N N 26378 AMERIGROUP FLORIDA FL CI Prof Y Y N Y 26378 AMERIGROUP FLORIDA - INST FL CI Inst N N N Y 26378 AMERIGROUP GEORGIA GA CI Prof Y Y N Y 26378 AMERIGROUP GEORGIA - INST GA CI Inst N N N Y 26378 AMERIGROUP ILLINOIS IL CI Prof Y Y N Y 26375 AMERIGROUP KENTUCKY KY MC Prof N N N Y 26375 AMERIGROUP LOUISIANA BAYOU HEALTH LA CI Prof Y N N Y 26375 AMERIGROUP NEW JERSEY NJ CI Prof Y N N Y 27518 AMERIGROUP OHIO OH CI Prof Y Y N Y 27518 AMERIGROUP OHIO - INST OH CI Inst N N N Y 26375 AMERIGROUP TEXAS TX CI Prof Y N N Y 54763 AMERIHEALTH ADMINISTRATORS CI Prof N Y Y Y 54763 AMERIHEALTH ADMINISTRATORS - DENTAL CI Dental N N N N 54763 AMERIHEALTH ADMINISTRATORS - INST CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 77075 AMERIHEALTH CARITAS IOWA IA CI Prof N N N Y 27357 AMERIHEALTH CARITAS LOUISIANA - INST LA MC Inst N N N N 27357 AMERIHEALTH CARITAS LOUISIANA FKA LACARE LA MC Prof N Y N Y 77001 AMERIHEALTH CARITAS NORTHEAST CI Prof N N N N 22248 AMERIHEALTH CARITAS PENN FKA MERCY - INST CI Inst N N N N 22248 AMERIHEALTH CARITAS PENN FKA MERCY HEALTH PLAN CI Prof N Y N Y 77013 AMERIHEALTH CARITUS VIP CARE PLUS MICHIGAN MI CI Prof N N N N 77051 AMERIHEALTH CONNECT (HEALTHY PA) PA CI Prof N N N N 93688 AMERIHEALTH DELAWARE PPO DE CI Prof N N Y Y 77002 AMERIHEALTH DISTRICT OF COLUMBIA (DC) DC CI Prof N N N N 23037 AMERIHEALTH HMO NEW JERSEY AND DELAWARE CI Prof N N Y Y 95044 AMERIHEALTH HMO NEW JERSEY AND DELAWARE CI Prof N Y Y Y CX014 AMERIHEALTH MERCY DENTAL CI Dental N N N N 95044 AMERIHEALTH NEW JERSEY HMO POS - INST CI Inst N N Y Y 60061 AMERIHEALTH NEW JERSEY PPO NJ CI Prof N Y Y Y 60061 AMERIHEALTH NEW JERSEY PPO - INST CI Inst N N Y Y 22355 AMERIHEALTH VIP CARE CI Prof N N N N 77007 AMERIHEALTH VIP CARE DC DC CI Prof N N N N 77006 AMERIHEALTH VIP CARE LA LA CI Prof N N N N 26374 AMERIKIDS - HOUSTON TX CI Prof N N N N 26375 AMERIKIDS- FORT WORTH TX CI Prof N N N N 12504 AMERIPRISE AUTO AND HOME INSURANCE (AUTO ONLY) AM Prof N N N N J1206 AMERISURE INSURANCE WC Prof N N N N 47009 AMERITAS INSURANCE - DENTAL CI Dental N N N N 1757 AMFIRST INS - MORGAN WHITE ADMIN CI Prof N N N N 1757 AMFIRST INS - MORGAN WHITE ADMIN - INST CI Inst N N N N 64090 AMFIRST INSURANCE CO CI Prof N N N N J1868 AMFIRST INSURANCE CO WORK COMP WC Prof N N N N J1453 AMGUARD INSURANCE COMPANY - GUARD DBA WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 12287 AMICA MUTUAL INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 24818 AMIDA CARE CI Prof N N N N 24818 AMIDA CARE - INST CI Inst N N N N 79966 AMIDA CARE MEDICARE CI Prof N N N N 79966 AMIDA CARE MEDICARE - INST CI Inst N N N N 76052 AMIL ARIA CI Inst N N N N AMILR AMILARIA VIA MEDIVIEW TX CI Prof N N N N IP080 AMVI CA CI Prof N N N N 41556 ANACO WC Prof N N N N 41556 ANAIC CIBUS WC Prof N N N N 53085 ANCHOR BENEFIT CONSULTING CI Prof N N N N 53085 ANCHOR BENEFIT CONSULTING, INC CI Inst N N N N J1919 ANCHOR CLAIMS MANAGEMENT WC WC Prof N N N N 86062 ANCILLARY BENEFITS - ARIZONA FOUNDATION FOR MEDICAL CARE CI Inst N N N N 86062 ANCILLARY BENEFITS - ARIZONA FOUNDATION FOR MEDICAL CARE CI Prof N N N N J1620 ANHEUSER BUSCH WC Prof N N N N J1620 ANHEUSER BUSCH (AUTO ONLY) AM Prof N N N N 43101 ANPAC (AUTO ONLY) AM Prof N N N N 34192 ANTARES MANAGEMENT SOLUTIONS OH CI Prof N Y N N 41556 ANTELOPE VALLEY RET WC Prof N N N N 16140 APA PARTNERS INC CI Prof N N N N 16140 APA PARTNERS, INC - INST CI Inst N N N N 34196 APEX BENEFIT SERVICES CI Prof N Y N Y 34196 APEX BENEFIT SERVICES INST CI Inst N N N N APP01 APPLECARE MEDICAL MANAGEMENT CA CI Prof N N N N 44444 APWU AFFORDABLE NETWORK CI Prof N N N N J1502 ARAMARK WC Prof N N N N ARAZ ARAZ CI Inst N N N N 52312 ARBOR HEALTH PLAN NE CI Prof N Y N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 77045 ARCADIAN MANAGEMENT SERVICES THRU DOS 12-31-2012 CI Inst N N N N 77045 ARCADIAN MANAGEMENT SERVICES THRU DOS 12-31-2012 CI Prof N N N N J1735 ARCHER DANIELS MIDLAND COMPANY WC Prof N N N N J1735 ARCHER DANIELS MIDLAND COMPANY (AUTO ONLY) AM Prof N N N N 19801 ARGONAUT INSURANCE COMPANY(ARGO) WC Prof N N N N 39185 ARISE HEALTH PLAN CI Prof N Y N N 39185 ARISE HEALTH PLAN - INST CI Inst N N N N 41556 ARIZONA AND 21ST CORP DBA BERKLEY EAST CONV HOSPITAL WC Prof N N N N AZFMC ARIZONA FOUNDATION FOR MEDICAL CARE - AFMC AZ CI Prof N N N N 53172 ARIZONA HEALTH CONCEPTS CI Prof N N N N 27154 ARIZONA PRIORITY CARE PLUS (AZPCP) AZ CI Prof N N N N 27154 ARIZONA PRIORITY CARE PLUS (AZPCP) - INST AZ CI Inst N N N N 75278 ARKANSAS BEST CORPORATION CI Prof N N N N 75278 ARKANSAS BEST CORPORATION - CHOICE BENEFITS CI Inst N N N N 62176 ARKANSAS MANAGED CARE ORG - AMCO AR CI Inst N N N N 62176 ARKANSAS MANAGED CARE ORG - AMCO AR CI Prof N N N N 87726 ARNETT HEALTH PLANS - INST CI Inst N N N Y 87726 ARNETT HEALTH PLANS FKA 95440 CI Prof N N N Y IP002 ARROWHEAD PHYSICIAN ALLIANCE CA CI Prof N N N N TPC16 ASBESTOS WORKERS L-201 CI Dental N N N N 56192 ASCENDIA HEALTHCARE MGMT HOS CI Inst N N N N PR027 ASOCIACION DE MAESTROS (PROSSAM) PR CI Prof N N N N 38265 ASR CORPORATION CI Prof N N N N 38265 ASR CORPORATION - INST CI Inst N N N N ASRM1 ASRM CORP NJ NJ CI Prof N N N Y ASRM1 ASRM CORP NJ - INST NJ CI Inst N N N N 35326 ASSOC FOR HEALTH CARE AHC CI Inst N N N N FAABC ASSOCIATED BENEFITS CORPORATION (ABC) CI Prof N N N N FAABC ASSOCIATED BENEFITS CORPORATION (ABC) CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status ATPA1 ASSOCIATED THIRD PARTY ADMINISTRATION CI Prof N N N N 36326 ASSOCIATES FOR HEALTH CARE - INST CI Inst N N N N 36326 ASSOCIATES FOR HEALTHCARE CI Prof N N N N 37294 ASSOCIATION SERVICES OF WASHINGTON CI Prof N N N N C1034 ASSURANCE COMPANY OF AMERICA (AUTO ONLY) AM Prof N N N N 70408 ASSURANT EMPLOYEE BENEFIT - EMPLOYEE DENTAL CI Dental N N N N 39065 ASSURANT HEALTH CI Prof N Y N Y ASNTH ASSURANT HEALTH (REPRICING FOR HEALTHSPAN NETWORK ONLY) CI Prof N N N N 41099 ASSURANT HEALTH - JOHN ALDEN LIFE CI Prof N Y N N 39065 ASSURANT HEALTH - TIME AKA FORTIS INSURANCE CI Prof N Y N Y 58730 ASSURANT HEALTH ASA (LUBBOCK) CI Prof N N N N 58730 ASSURANT HEALTH ASA (LUBBOCK) INST CI Inst N N N N 39065 ASSURANT HEALTH INST CI Inst N N N N 75068 ASSURANT HEALTH SELF FUNDED (ALLIED BENEFIT) CI Prof N N N N 88035 ASSURECARE INC CI Inst N N N N 88035 ASSURECARE INC CI Prof N N N N 76044 ASSURED BENEFITS ADMINISTRATORS CI Inst N N N N 74240 ASSURED BENEFITS ADMINISTRATORS CI Prof N N N N 93221 ASURIS NORTHWEST HEALTH CI Prof Y Y N N 93221 ASURIS NORTHWEST HEALTH - INST CI Inst N N N N TPC18 ATE ASEA CWA 1181 (ACTIVES) CI Dental N N N N TPC19 ATE ASEA CWA 1181 (RETIREES) CI Dental N N N N 95691 ATHENS AREA HEALTH PLAN SELECT CI Inst N N N N 95691 ATHENS AREA HEALTH PLAN SELECT CI Prof N N N N J1914 ATHENS WORK COMP WC Prof N N N N ADN01 ATLANTIC DENTAL (ADI) CI Dental N N N N 22285 ATLANTIC MEDICAL INSURANCE CI Prof N N N N 19895 ATLANTIC MUTUAL INSURANCE WC Prof N N N N ATPA1 ATPA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status ATRIO ATRIO HEALTH PLAN CI Prof N N N N ATRIO ATRIO HEALTH PLAN - INST CI Inst N N N N AULTC AULTCARE OH CI Prof N Y Y Y 37242 AULTRA ADMINISTRATIVE GROUP CI Inst N N N N 37242 AULTRA ADMINISTRATIVE GROUP CI Prof N N N N PHD01 AURORA ASSOCIATED PHYSICIANS INC CI Prof N N N N J1682 AUSTIN MUTUAL INS WC Prof N N N N J1682 AUSTIN MUTUAL INS (AUTO ONLY) AM Prof N N N N CMSEB AUSTIN REGIONAL CLINIC EMPLOYEE BENEFIT PLAN CI Prof N N N N 11983 AUTO CLUB INSURANCE (ACIA) AM Prof N N N N 11983 AUTO CLUB PROPERTY-CASUALTY INSURANCE COMPANY AM Prof N N N N J1580 AUTO-OWNERS HOME-OWNERS INSURANCE COMPANY WC Prof N N N N J1580 AUTO-OWNERS HOME-OWNERS INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1583 AUTO-OWNERS OWNERS INSURANCE COMPANY WC Prof N N N N J1583 AUTO-OWNERS OWNERS INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1699 AUTO-OWNERS PROPERTY-OWNERS INSURANCE CO WC Prof N N N N J1699 AUTO-OWNERS PROPERTY-OWNERS INSURANCE CO (AUTO ONLY) AM Prof N N N N J1688 AUTO-OWNERS SOUTHERN-OWNERS COMPANY WC Prof N N N N J1688 AUTO-OWNERS SOUTHERN-OWNERS COMPANY (AUTO ONLY) AM Prof N N N N J1556 AUTO-OWNERS INSURANCE COMPANY WC Prof N N N N J1556 AUTO-OWNERS INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1596 AUTO-OWNERS LIFE INSURANCE COMPANY WC Prof N N N N J1596 AUTO-OWNERS LIFE INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 38259 AUTOMATED BENEFIT SERVICES (ABS) MI CI Prof N Y N N 38259 AUTOMATED BENEFIT SERVICES INST MI CI Inst N N N N 37280 AUTOMATED GROUP ADMINISTRATION IN CI Prof N N N N 37280 AUTOMATED GROUP ADMINISTRATION, INC CI Prof N N N N 37280 AUTOMATED GROUP ADMINISTRATION, INC CI Inst N N N N 91136 AUTOMOTIVE MACHINISTS LOCAL 289 HEALTH CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 91136 AUTOMOTIVE MACHINISTS LOCAL 289 HEALTH WELFARE TRUST GRP F32 CI Prof N N N N AH001 AVANTE HEALTH CI Prof N N N N 46045 AVERA HEALTH PLANS CI Inst N N N Y 46045 AVERA HEALTH PLANS CI Prof N Y N Y 87098 AVESIS VISION CLAIMS CI Prof N N N N 41556 AVIR INC WC Prof N N N N 59274 AVMED HEALTH PLAN FL CI Prof N Y N Y 59274 AVMED HEALTH PLAN - INST FL CI Inst N N N N AXM01 AXMINSTER MEDICAL GROUP CA CI Prof N N N N J1018 AYERS TRUCKING WC Prof N N N N A2051 BAC LOCAL 15 WELFARE FUND (KANSAS) CI Dental N N N N 41556 BAKER TANKS, INC WC Prof N N N N BKRFM BAKERSFIELD FAMILY MEDICAL CENTER CI Prof N N N N J1729 BANK OF AMERICA WC Prof N N N N J1729 BANK OF AMERICA (AUTO ONLY) AM Prof N N N N 12X42 BANNER HEALTH CO CI Prof N N N N 12X42 BANNER HEALTH CO - INST CI Inst N Y N N SX145 BANNER HEALTH PLAN CI Prof N Y N N 65026 BAPTIST HEALTH SOUTH FLORIDA FL CI Prof N N N N 65026 BAPTIST HEALTH SOUTH FLORIDA - INST FL CI Inst N N N N 74275 BAPTIST HEALTHCARE NETWORK CI Inst N N N N J1503 BARNES WC Prof N N N N J1686 BARRETT BUSINESS SERVICES INC (BBSI) WC Prof N N N N J1686 BARRETT BUSINESS SERVICES INC (BBSI) (AUTO ONLY) AM Prof N N N N 41556 BASIC RESOURCES, INC WC Prof N N N N 37248 BASS ADMINISTRATORS INC CI Prof N N N Y 38238 BASS ADMINISTRATORS, INC CI Inst N N N N 16112 BATAVIA CITY SCHOOLS TRI-COUNTY MEDICAL PLAN CI Prof N N N N 59279 BAYCARE LIFE MANAGEMENT CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 59279 BAYCARE LIFE MANAGEMENT - INST CI Inst N N N N BLUPP BCBS ALL PAPER HCFA BL Prof N N N N 83470 BCBS ARKANSAS BL Dental N N N N TFQ45 BCBS ARKANSAS FEP CLAIMS ONLY BL Dental N N N N 76031 BCBS FLORIDA (FLORIDA COMBINED LIFE) DENTAL FL BL Dental N N N N TLF02 BCBS FLORIDA - FEDERAL EMPLOYEE DENTAL FL CI Dental N N N N HMSA1 BCBS HAWAII (HMSA) - COMMERCIAL DENTAL CI Dental N N N N CB621 BCBS ILLINOIS DENTAL IL BL Dental N N N N 84105 BCBS INDIANA DENTAL IN BL Dental N N N N BSIA2 BCBS IOWA MEDICARE COB IA BL Prof N N N N 47163 BCBS KANSAS KS BL Dental N N N N CX014 BCBS KANSAS CITY DENTAL BL Dental N N N N 23739 BCBS LOUISIANA CI Dental N N N N 23738 BCBS LOUISIANA POS - HMO LOUISIANA LA BL Prof N Y N Y CBMA1 BCBS MASSACHUSETTS DENTAL MA BL Dental N N Y N CBMA1 BCBS MASSACHUSETTS DENTAL BLUE MA BL Dental N N N N FE210 BCBS MICHIGAN FEP FEDERAL EMPLOYEES - INST MI CI Inst N N Y Y FEPMI BCBS MICHIGAN FEP FEDERAL EMPLOYEES - PROF MI CI Prof N Y Y Y TBS03 BCBS MISSISSIPPI (CHIP CLAIMS ONLY) BL Dental N N N N TBS04 BCBS MISSISSIPPI (CHIP PRE-D'S ONLY) BL Dental N N N N EXC02 BCBS NEW YORK (CENTRAL NEW YORK) BL Dental N N N N EXC01 BCBS NEW YORK (FINGER LAKES REGION) BL Dental N N N N EXC01 BCBS NEW YORK (ROCHESTER) BL Dental N N N N EXC02 BCBS NEW YORK (SYRACUSE) BL Dental N N N N EXC01 BCBS NEW YORK (UTICAWATERTOWN) BL Dental N N N N 52133 BCBS NORTH CAROLINA DENTAL NC BL Dental N N N N BSNDV BCBS NORTH DAKOTA VISION ND BL Prof N N Y Y TBOK1 BCBS OF OKLAHOMA OK BL Dental N N N N 84980 BCBS TEXAS DENTAL TX BL Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 66001 BCBS TEXAS STAR AND CHIP MEDICAID TX CI Prof N N N Y 66001 BCBS TEXAS STAR AND CHIP MEDICAID - INST TX CI Inst N N N Y BCVA1 BCBS VIRGINIA - INST VA BL Inst N N N Y 301 BCBS WESTERN NEW YORK (WNY) BL Dental N N N N SC400 BCBSSC STATE EMPLOYEES HEALTH PLAN SC BL Prof N Y N Y SC402 BCBSSC FEDERAL EMPLOYEES PLAN FEP SC BL Prof N Y N Y SC402 BCBSSC FEDERAL EMPLOYEES PLAN FEP INST SC BL Inst N N N Y SC481 BCBSSC PREFERRED BLUE SC BL Prof N Y N Y SC403 BCBSSC PREFERRED HEALTH SYSTEMS-HMO BLUE SC BL Prof N Y N Y SC400 BCBSSC STATE EMPLOYEES HEALTH PLAN INST SC BL Inst N N N Y 49153 BCI ADMINISTRATORS INC CI Prof N N N N 43324 BEACON HEALTH STRATEGIES CI Prof N N N Y 43324 BEACON HEALTH STRATEGIES INST CI Inst N N N Y J1234 BEACON MUTUAL WC Prof N N N N J1030 BEALL'S INC MIDWEST EMPLOYERS WC Prof N N N N J1690 BEAR VALLEY UNIFIED SCHOOL DISTRICT (CA) WC Prof N N N N J1690 BEAR VALLEY UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY) AM Prof N N N N 45967 BEAVER MEDICAL GROUP CI Prof N N N N 95377 BEECH STREET CORPORATION CI Prof N N N N 95377 BEECH STREET CORPORATION CI Inst N N N N 41556 BEEVILLE ISD WC Prof N N N N 63100 BEHAVIORAL HEALTH SYSTEMS CI Prof N N N N 60054 BELL ATLANTIC CI Dental N N N N 68241 BELL ATLANTIC CI Inst N N N N PR002 BELL ATLANTIC CI Prof N N N N MPM10 BELLA VISTA MED GRP CA CI Prof N N N N J1257 BENCHMARK INSURANCE WC Prof N N N N J1257 BENCHMARK INSURANCE (AUTO ONLY) AM Prof N N N N 37125 BENEFIRST CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41205 BENEFIT ADMINISTRATION SERVICES (BAS LTD) CI Prof N N N N 41205 BENEFIT ADMINISTRATION SERVICES DENTAL CI Dental N N N N 36149 BENEFIT ADMINISTRATIVE SYSTEMS - BAS HEALTH CI Prof N N N Y 36149 BENEFIT ADMINISTRATIVE SYSTEMS INST CI Inst N N N N 99320 BENEFIT AND RISK MANAGEMENT SERVICES CI Prof N N N N 25145 BENEFIT COORDINATORS CORP PA CI Prof N N N Y 25145 BENEFIT COORDINATORS CORPORATION (PITTSBURGH, CI Inst N N N N BMATP BENEFIT MANAGEMENT ADMIN (SAN ANTONIO) CI Prof N N N N BMG01 BENEFIT MANAGEMENT GROUP INC (BMG) CI Prof N N N N 48611 BENEFIT MANAGEMENT INC OF KANSAS KS CI Prof N Y N Y 48611 BENEFIT MANAGEMENT INC OF KANSAS INST KS CI Inst N N N N 56139 BENEFIT MANAGEMENT SERVICES CI Prof N N N N 999 BENEFIT MANAGEMENT SERVICES OF LOUISIANA LA BL Prof N N N N 37212 BENEFIT MANAGEMENT SYSTEMS INC - MISSISSIPPI CI Prof N N N Y 37212 BENEFIT MANAGEMENT SYSTEMS INC - MISSISSIPPI CI Inst N N N N 13310 BENEFIT PLAN ADMIN ST LOUIS MO CI Prof N N N N 88052 BENEFIT PLAN ADMINISTRATORS CI Prof N N N N 39081 BENEFIT PLAN ADMINISTRATORS (EAU CLAIRE WI) CI Prof N N N Y 39081 BENEFIT PLAN ADMINISTRATORS (EAU CLAIRE WI) - DENTAL CI Dental N N N N 39081 BENEFIT PLAN ADMINISTRATORS (EAU CLAIRE WI) - INST CI Inst N N N N 88052 BENEFIT PLAN ADMINISTRATORS - INST CI Inst N N N N 37118 BENEFIT PLAN ADMINISTRATORS INC (ROANOKE) VA CI Prof N N N N 37118 BENEFIT PLAN ADMINISTRATORS INC (ROANOKE) - INST VA CI Inst N N N N 37222 BENEFIT PLAN MANAGEMENT CI Inst N N N N 37222 BENEFIT PLAN MANAGEMENT CI Prof N N N N 2053 BENEFIT RESOURCES IN CI Prof N N N N 34178 BENEFIT SERVICES (AKRON OH) OH CI Prof N N N N 38257 BENEFIT SOURCE, INC CI Inst N N N N 36342 BENEFIT SYSTEMS SERVICES CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 36342 BENEFIT SYSTEMS SERVICES, INC (BSSI) CI Inst N N N N 75135 BENEFITS MANAGEMENT CI Inst N N N N 75135 BENEFITS MANAGEMENT HOS CI Inst N N N N 42148 BENEFITS, INC CI Inst N N N N BMX01 BENEMAX CI Dental N N N N 87265 BENESIGHT (UMR) - INST CI Inst N N N N 87265 BENESIGHT (UMR) CI Prof N N N N 37248 BENESYS CI Inst N N N N 37248 BENESYS CI Prof N N N Y 32838 BENESYS CI Inst N N N N BNMK1 BENMARK MS CI Prof N N N N J1477 BERKLEY AGRIBUSINESS RISK SPECIALISTS WC Prof N N N N J1477 BERKLEY NATIONAL INSURANCE COMPANY WC Prof N N N N J1523 BERKLEY NET UNDERWRITERS, LLC WC Prof N N N N J1477 BERKLEY REGIONAL INSURANCE COMPANY WC Prof N N N N J1526 BERKLEY RISK ADMINISTRATORS COMPANY, LLC WC Prof N N N N TP019 BERKLEY SPECIALTY UNDERWRITERS WC Prof N N N N 41556 BERKLEY VALLEY CONV HOSPITAL WC Prof N N N N 20044 BERKSHIRE HATHAWAY HOMESTATE COMPANIES (BHHC) WC Prof N N N N 23243 BERKSHIRE HEALTH PARTNERS PPO (BHP) CI Prof N N N N 95606 BERKSHIRE LEHIGH PARTNERS CI Prof N N N N 41556 BERNARDO H CO CLUB WC Prof N N N N J1031 BERWIND CORPORATION WC Prof N N N N 95604 BEST LIFE HEALTH INSURANCE CO CI Inst N N N N 95604 BEST LIFE HEALTH INSURANCE CO CI Prof N Y N N 20488 BETTER HEALTH OF FLORIDA FL CI Prof N Y N N 32006 BETTER HEALTH PLAN OF SOUTH CAROLINA SC CI Prof N N N N 41556 BEVERLY HILLS CARMEL WC Prof N N N N 44219 BHP-UNITY CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status BSHS1 BIENVIVIR SENIOR CI Prof N N N N J1738 BIG 5 CORP WC Prof N N N N J1738 BIG 5 CORP (AUTO ONLY) AM Prof N N N N CX025 BIG LOTS ASSOCIATES BENEFIT PLAN CI Prof N N N N 41556 BIGHORN CONSTRUCTION WC Prof N N N N J1691 BITUMINOUS FIRE AND MARINE WC Prof N N N N J1691 BITUMINOUS FIRE AND MARINE (AUTO ONLY) AM Prof N N N N J1579 BITUMINOUS INSURANCE COMPANY WC Prof N N N N J1579 BITUMINOUS INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N BV001 BLOCK VISION (SUPERIOR VISION) CI Prof N N N Y J1347 BLOOMINGDALE'S WC Prof N N N N 870 BLUE SHIELD RHODE ISLAND RI BL Prof N Y Y Y TLY26 BLUE ADVANTAGE (BCBS OF AR) BL Dental N N N N 3036 BLUE BENEFIT ADMINISTRATORS OF MA MA CI Prof N Y N N 3036 BLUE BENEFIT ADMINISTRATORS OF MA - INST MA CI Inst N N N N 37244 BLUE BONNET ADMINISTRATORS CI Inst N N N N BN210 BLUE CARE NETWORK MICHIGAN - INST MI CI Inst N Y N N BCNMI BLUE CARE NETWORK MICHIGAN - PROF MI CI Prof N Y Y Y 510 BLUE CROSS BLUE SHIELD ALABAMA - DENTAL AL BL Dental N N N Y 53589 BLUE CROSS BLUE SHIELD ARIZONA INST AZ BL Inst N N N Y BS020 BLUE CROSS BLUE SHIELD ARKANSAS INST AR BL Inst N Y Y Y 50 BLUE CROSS BLUE SHIELD COLORADO INST CO BL Inst Y N N Y 60 BLUE CROSS BLUE SHIELD CONNECTICUT INST CT BL Inst N N N Y BC590 BLUE CROSS BLUE SHIELD FLORIDA INST FL BL Inst N N N Y BC101 BLUE CROSS BLUE SHIELD GEORGIA - INST GA BL Inst N Y N Y 130 BLUE CROSS BLUE SHIELD INDIANA INST IN BL Inst N N N Y 47163 BLUE CROSS BLUE SHIELD KANSAS INST KS BL Inst N N Y Y 160 BLUE CROSS BLUE SHIELD KENTUCKY INST KY BL Inst N N N Y 53120 BLUE CROSS BLUE SHIELD LOUISIANA INST LA BL Inst N N Y Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 200 BLUE CROSS BLUE SHIELD MASSACHUSETTS INST MA BL Inst N N Y Y BC210 BLUE CROSS BLUE SHIELD MICHIGAN - INST MI BL Inst N Y Y Y 220 BLUE CROSS BLUE SHIELD MINNESOTA INST MN BL Inst N N N Y BS230 BLUE CROSS BLUE SHIELD MISSISSIPPI MS CI Prof N Y Y Y 241 BLUE CROSS BLUE SHIELD MISSOURI - INST MO BL Inst N N N Y 760 BLUE CROSS BLUE SHIELD NEBRASKA INST NE BL Inst N N N N 265 BLUE CROSS BLUE SHIELD NEVADA (ANTHEM) - INST NV BL Inst N N N N 790 BLUE CROSS BLUE SHIELD NEW MEXICO INST NM BL Inst Y N N Y BSNC2 BLUE CROSS BLUE SHIELD NORTH CAROLINA - INST NC BL Inst N N N Y 77078 BLUE CROSS BLUE SHIELD OF ARIZONA ADVANTAGE CI Prof N N N Y 621 BLUE CROSS BLUE SHIELD OF ILLINOIS ( HCSC) IL BL Prof Y N N Y 621 BLUE CROSS BLUE SHIELD OF ILLINOIS (HCSC) INST IL BL Inst Y N N Y 332 BLUE CROSS BLUE SHIELD OHIO INST OH BL Inst N N N Y BSOK1 BLUE CROSS BLUE SHIELD OKLAHOMA INST OK BL Inst Y N N Y SC401 BLUE CROSS BLUE SHIELD SOUTH CAROLINA SC BL Prof N Y N Y SC481 BLUE CROSS BLUE SHIELD SOUTH CAROLINA INST SC BL Inst N N N Y BSSD1 BLUE CROSS BLUE SHIELD SOUTH DAKOTA - INST SD BL Inst N N N N BC390 BLUE CROSS BLUE SHIELD TENNESSEE INST TN BL Inst N Y Y Y BC980 BLUE CROSS BLUE SHIELD TEXAS INST TX BL Inst Y N N Y 450 BLUE CROSS BLUE SHIELD WISCONSIN - INST WI BL Inst Y Y N Y 932 BLUE CROSS BLUESHIELD WA REGENCE INST WA CI Inst N N N Y BC305 BLUE CROSS CENTRAL NEW YORK - INST NY BL Inst N Y Y Y BCCIL BLUE CROSS COMMUNITY ILLINOIS IL CI Prof N N N N BCCMI BLUE CROSS COMPLETE MICHIGAN - PROF MI CI Prof N Y Y Y BCD01 BLUE CROSS DENTAL (MD) DOMINION CAPITAL BLUE CROSS BL Dental N N N N BCND1 BLUE CROSS NORTH DAKOTA ND BL Inst N N N N 60147 BLUE CROSS NORTHEASTERN PENNSYLVANIA PA BL Prof N Y N Y 47198 BLUE CROSS OF CALIFORNIA (ANTHEM) CA CI Prof Y Y N Y 47198 BLUE CROSS OF CALIFORNIA (ANTHEM) - INST CA BL Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status TEL47198 BLUE CROSS OF CALIFORNIA (TELEMEDICINE) CA CI Prof N N N N 610 BLUE CROSS OF IDAHO ID CI Prof N Y Y Y 610 BLUE CROSS OF IDAHO INST ID CI Inst N N Y Y IP061 BLUE LAKE RANCHERIA CA CI Prof N N N N 56152 BLUE MEDICARE ADVANTAGE NORTH CAROLINA NC CI Prof N Y N Y 56152 BLUE MEDICARE ADVANTAGE NORTH CAROLINA INST NC CI Inst N N N Y 53589 BLUE SHIELD ARIZONA AZ BL Prof N Y N Y BS520 BLUE SHIELD ARKANSAS AR BL Prof N Y Y Y 570 BLUE SHIELD DELAWARE HIGHMARK DE BL Prof N N Y Y BS590 BLUE SHIELD FLORIDA FL BL Prof Y Y N Y 621 BLUE SHIELD ILLINOIS IL BL Prof Y Y N Y BSIA1 BLUE SHIELD IOWA IA BL Prof N Y Y Y 47163 BLUE SHIELD KANSAS KS BL Prof N Y Y Y 53120 BLUE SHIELD LOUISIANA LA BL Prof N Y Y Y 200 BLUE SHIELD MASSACHUSETTS MA BL Prof N Y Y Y 720 BLUE SHIELD MINNESOTA MN BL Prof Y Y N Y BSMT0 BLUE SHIELD MONTANA MT BL Prof N Y N Y 760 BLUE SHIELD NEBRASKA NE BL Prof N Y Y Y BS804 BLUE SHIELD NEW YORK ROCHESTER (EXCELLUS) NY BL Prof N Y Y Y BS801 BLUE SHIELD NEW YORK WESTERN - BUFFALO NY BL Prof N Y Y Y BS806 BLUE SHIELD NEW YORK UTICA WATERTOWN (EXCELLUS) NY BL Prof N Y Y Y BSND1 BLUE SHIELD NORTH DAKOTA ND BL Prof N Y Y Y BSOK1 BLUE SHIELD OKLAHOMA OK BL Prof Y Y N Y 54771 BLUE SHIELD PENN HIGHMARK BCBS PA BL Prof N Y Y Y BSSD1 BLUE SHIELD SOUTH DAKOTA SD BL Prof N Y Y Y BS390 BLUE SHIELD TENNESSEE TN BL Prof N Y N Y BSVT1 BLUE SHIELD VERMONT VT BL Prof N Y N Y BSWY1 BLUE SHIELD WYOMING WY BL Prof N Y Y Y 510 BLUE SHIELD ALABAMA AL BL Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 84980 BLUE SHIELD BCBS TEXAS TX BL Prof Y Y N Y BS805 BLUE SHIELD CENTRAL NEW YORK (EXCELLUS) NY BL Prof N Y Y Y 50 BLUE SHIELD COLORADO CO BL Prof Y Y N Y TEL00050 BLUE SHIELD COLORADO (TELEMEDICINE) CO BL Prof N N N N 60 BLUE SHIELD CONNECTICUT (ANTHEM) CT BL Prof Y Y N Y TEL00060 BLUE SHIELD CONNECTICUT (TELEMEDICINE) CT BL Prof N N N N 601 BLUE SHIELD GEORGIA GA BL Prof Y Y N Y TEL00601 BLUE SHIELD GEORGIA (TELEMEDICINE) GA BL Prof N N N N BS115 BLUE SHIELD HAWAII (HMSA) HI BL Prof N Y Y Y 630 BLUE SHIELD INDIANA (ANTHEM) IN BL Prof Y Y N Y TEL00630 BLUE SHIELD INDIANA (TELEMEDICINE) IN BL Prof N N N N 47171 BLUE SHIELD KANSAS CITY REGION MO BL Prof N Y Y Y BS660 BLUE SHIELD KENTUCKY (ANTHEM) KY BL Prof Y Y N Y TEL00660 BLUE SHIELD KENTUCKY (TELEMEDICINE) KY BL Prof N N N N 680 BLUE SHIELD MAINE (ANTHEM) ME BL Prof N N N Y TEL00680 BLUE SHIELD MAINE (TELEMEDICINE) ME BL Prof N N N N BS710 BLUE SHIELD MICHIGAN - PROF MI BL Prof N Y Y Y 241 BLUE SHIELD MISSOURI (ANTHEM) MO BL Prof Y Y N Y TEL00241 BLUE SHIELD MISSOURI (TELEMEDICINE) MO BL Prof N N N N 265 BLUE SHIELD NEVADA (ANTHEM) NV BL Prof Y Y N Y TEL00265 BLUE SHIELD NEVADA (TELEMEDICINE) NV BL Prof N N N N 770 BLUE SHIELD NEW HAMPSHIRE (ANTHEM) NH BL Prof N N N Y TEL00770 BLUE SHIELD NEW HAMPSHIRE (TELEMEDICINE) NH BL Prof N N N N 790 BLUE SHIELD NEW MEXICO NM BL Prof Y Y N Y BSNC1 BLUE SHIELD NORTH CAROLINA NC BL Prof N Y N Y BS800 BLUE SHIELD NORTHEASTERN NEW YORK NY BL Prof N Y Y Y 94036 BLUE SHIELD OF CALIFORNIA CA BL Prof N Y N Y 52133 BLUE SHIELD OF CALIFORNIA DENTAL BL Dental N N N N 94036 BLUE SHIELD OF CALIFORNIA INST CA BL Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 611 BLUE SHIELD OF IDAHO (REGENCE) ID CI Prof Y Y N Y 611 BLUE SHIELD OF IDAHO (REGENCE) - INST ID CI Inst N N N Y 800 BLUE SHIELD OF NORTHEASTERN NEW YORK (NENY) BL Dental N N N N CB865 BLUE SHIELD OF PENNSYLVANIA BL Dental N N N N CBPA2 BLUE SHIELD OF PENNSYLVANIA - DENTAL PLUS (UCCI) BL Dental N N N N 932 BLUE SHIELD OF WASHINGTON (REGENCE) WA BL Prof Y Y N Y BSWA2 BLUE SHIELD OF WASHINGTON REGENCE (PIN) WA BL Prof N Y N Y 834 BLUE SHIELD OHIO (ANTHEM) OH BL Prof Y Y N Y TEL00834 BLUE SHIELD OHIO (TELEMEDICINE) OH BL Prof N N N N 851 BLUE SHIELD OREGON (REGENCE) OR BL Prof Y Y N Y BSVA1 BLUE SHIELD VIRGINIA VA BL Prof Y Y N Y TELBSVA1 BLUE SHIELD VIRGINIA (TELEMEDICINE) VA BL Prof N N N N 54828 BLUE SHIELD WEST VIRGINIA WV BL Prof N Y Y Y 950 BLUE SHIELD WISCONSIN (ANTHEM) WI BL Prof Y Y N Y TEL00950 BLUE SHIELD WISCONSIN (TELEMEDICINE) WI BL Prof N N N N SC922 BLUECHOICE HEALTH PLAN (BCBSSC) SC CI Prof N Y N Y SC922 BLUECHOICE HEALTH PLAN (BCBSSC) - INST SC CI Inst N N N N 403 BLUECHOICE SOUTH CAROLINA MEDICAID (WELLPOINT) SC MC Prof N Y N Y 61124 BLUEGRASS FAMILY HEALTH DBA BAPTIST HEALTH PLAN CI Prof N Y N Y 61124 BLUEGRASS FAMILY HEALTH DBA BAPTIST HEALTH PLAN - INST CI Inst N N N Y CX014 BMC COMMONWEALTH MASS - DENTAQUEST MA CI Dental N N N N 13337 BMC HEALTHNET PLAN (BOSTON MEDICAL) MA CI Prof N Y N N 13337 BMC HEALTHNET PLAN - INST MA CI Inst N N N N 43178 BMI - JOPLIN CLAIMS CI Inst N N N N 43178 BMI - JOPLIN CLAIMS CI Prof N N N N J1258 BMW MANUFACTURING CORP WC Prof N N N N J1259 BMW NORTH AMERICA WC Prof N N N N 41556 BOBRICK WASHROOM WC Prof N N N N 36609 BOILERMAKERS NATIONAL HEALTH WELFARE FUND CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 36609 BOILERMAKERS NATIONAL HEALTH WELFARE FUND CI Prof N N N N BOLL1 BOLLINGER INC CI Inst N N N N BOLL1 BOLLINGER INC CI Prof N N N N TLX71 BOLLINGER INSURANCE CI Dental N N N N BOONG BOON GROUP CI Prof N Y N N BOONG BOON GROUP - INST CI Inst N N N N 74238 BOON-CHAPMAN BENEFIT ADMINISTRATORS CI Prof N Y N Y 74238 BOON-CHAPMAN BENEFIT ADMINISTRATORS - INST CI Inst N N N N 38324 BOTSFORD HEALTH PLAN MI CI Prof N N N N 38324 BOTSFORD HEALTH PLAN (FARMINGTON HILLS, MI) CI Inst N N N N 41556 BOULDER COMMUNITY HOSPITAL WC Prof N N N N 37273 BOYD BROS TRANSPORTATION INC CI Prof N N N N 37273 BOYD BROS TRANSPORTATION, INC CI Inst N N N N 37273 BOYDCARE CI Inst N N N N 37273 BOYDCARE CI Prof N N N N 48964 BPS, INC CI Prof N N N N UC001 BRAND NEW DAY CI Prof N N N N UC002 BRAND NEW DAY ENCOUNTERS CI Prof N N N N 52192 BRAVO HEALTH ELDER HEALTH CI Prof N N N N 65005 BREATHCOCSL PULMONARY CI Prof N N N N 41556 BREMCO CONSTRUCTION WC Prof N N N N J1761 BRICKSTREET WC Prof N N N N 38365 BRIDGE BENEFITS OH CI Prof N N N N BRIDG BRIDGESPAN HEALTH UT CI Prof N N N N 68054 BRIDGEWAY HEALTH SOLUTIONS ARIZ INST AZ CI Inst N N N Y 68054 BRIDGEWAY HEALTH SOLUTIONS ARIZONA AZ CI Prof N Y N Y TP021 BROADSPIRE, A CRAWFORD COMPANY WC Prof N N N N 51037 BROCKERAGE CONCEPTS - INST CI Inst N N N N 51037 BROKERAGE CONCEPTS CI Prof N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status BIPAZ BROOKSHIRE IPA CA CI Prof N N N N J1445 BROTHERHOOD MUTUAL INSURANCE WC Prof N N N N J1445 BROTHERHOOD MUTUAL INSURANCE (AUTO ONLY) AM Prof N N N N 94316 BROWN AND TOLAND MEDICAL GROUP CA CI Prof N N N Y 94316 BROWN AND TOLAND MEDICAL GROUP INST CA CI Inst N N N N BTSS1 BROWN AND TOLAND SUTTER SELECT CA CI Prof N Y N N 41556 BROWNSVILLE INDEPENDENT SCHOOL DISTRICT WC Prof N N N N 11150 BROWNYARD GROUP INC (ARCH INSURANCE) WC Prof N N N N J1032 BRUNSWICK CORPORATION WC Prof N N N N 932 BS WASHINGTON (REGENCE) WA BL Prof N N N Y 32004 BUCKEYE COMMUNITY HEALTH PLAN OHIO OH CI Prof N Y N Y 32004 BUCKEYE COMMUNITY HEALTH PLAN OHIO INST OH CI Inst N N N Y 50240 BUENAVENTURA MEDICAL GROUP CI Prof N N N N J1501 BUFFETS INC (OLD COUNTRY BUFFETT, RYAN'S, HOMETOWN BUFFET) WC Prof N N N N J1435 BUNCH AND ASSOCIATES WC Prof N N N N J1033 BURLINGTON COAT FACTORY WAREHO WC Prof N N N N 41556 BURTON WAY CARMEL WC Prof N N N N 42150 BUTLER BENEFITS IA CI Prof N N N N 42150 BUTLER DENTAL (LA) CI Dental N N N N 41556 BYCOR GEN CONTRACT WC Prof N N N N 23708 C AND O EMPLOYEES HOSPITAL ASSOCIATION CI Prof N Y N N 16126 C NY MANAGED CARE CI Prof N N N N 59129 CAC RAMSEY CI Inst N N N N 41556 CADET UNIFORM SUPPLY WC Prof N N N N J1535 CALIFORNIA FAIR SERVICES AUTHORITY WC Prof N N N N 68069 CALIFORNIA HEALTH AND WELLNESS CA CI Prof N Y N Y IP020 CALIFORNIA PRIMARY CARE MEDICAL GROUP CA CI Prof N N N N 41556 CALIFORNIA WATER SERVICE COMPANY WC Prof N N N N CWS99 CALIFORNIA WATER SERVICES CA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41556 CALLAHAN, MCCUNE WC Prof N N N N CALOP CALOPTIMA DIRECT CA CI Prof N N N N 59334 CAMBRIDGE ISG CI Inst N N N N CAMAA CAMERON ASSOCIATES CI Prof N N N N 41556 CAMPBELL UNION SCHOOL DISTRICT WC Prof N N N N 37105 CANNON COCHRAN MANAGEMENT SERV CI Inst N N N N 37105 CANNON COCHRAN MANAGEMENT SERVICES INC CI Prof N N N N 71057 CANNON COCHRAN MANAGEMENT SERVICES, INC CI Prof N N N N 37105 CANNON COCHRAN MANAGEMENT SVC-ILLINOIS CI Dental N N N N CAPMN CAP MANAGEMENT SYSTEMS CI Prof N N N N 38245 CAPE HEALTH PLAN CI Inst N N N N 38245 CAPE HEALTH PLAN CI Prof N N N N J1637 CAPISTRANO UNIFIED SCHOOL DISTRICT (CA) WC Prof N N N N J1637 CAPISTRANO UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY) AM Prof N N N N CBC01 CAPITAL BLUE CROSS (CBC) CI Dental N N N N CAPBC CAPITAL BLUE CROSS - CAPITAL ADVANTAGE PA BL Prof N Y Y Y CAPBC CAPITAL BLUE CROSS INST PA BL Inst N N Y Y CDPHP CAPITAL DISTRICT PHP NY CI Prof N Y N Y 95112 CAPITAL HEALTH PLAN FL CI Prof N Y N N 95112 CAPITAL HEALTH PLAN INST FL CI Inst N N N N 68011 CAPITOL ADMINISTRATORS CI Inst N N N N 68011 CAPITOL ADMINISTRATORS CI Prof N Y N N J1262 CAPITOL INDEMNITY WC Prof N N N N J1262 CAPITOL INDEMNITY (AUTO ONLY) AM Prof N N N N CAPHP CAPROCK HEALTH PLANS CI Prof N Y N N CAPHP CAPROCK HEALTH PLANS - DENTAL CI Dental N N N N CAPHP CAPROCK HEALTH PLANS - INST CI Inst N N N N 41556 CAPS-SIG WC Prof N N N N 86044 CAPSTONE HEALTH PLAN AZ CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 86044 CAPSTONE HEALTH PLAN AZ CI Prof N N N N GCVCP CARDIOVASCULAR CARE PROVIDERS INC (CVCP) CI Prof N N N N 57116 CARE 1ST HEALTH PLAN OF ARIZONA AZ CI Prof N Y N N 57116 CARE 1ST HEALTH PLAN OF ARIZONA - INST AZ CI Inst N N N N C1SCA CARE 1ST HEALTH PLAN OF CALIF CA CI Prof N N N N EC1CA CARE 1ST HEALTH PLAN OF CALIF - ENCOUNTER CA CI Prof N N Y N C1SCA CARE 1ST HEALTH PLAN OF CALIF - INST CA CI Inst N N N N 65063 CARE ACCESS PSN FL CI Prof N N N N 77082 CARE IMPROVEMENT PLUS - INST THRU DOS 12-31-2015 CI Inst N N N Y 77082 CARE IMPROVEMENT PLUS THRU DOS 12-31-2015 CI Prof N N N Y 340 CARE MANAGEMENT RESOURCES CI Prof N N N N 11331 CARE MGMT GROUP GREATER NY CI Inst N N N N 43172 CARE PARTNERS CI Inst N N N N 43172 CARE PARTNERS CI Prof N N N N 11345 CARECENTRIX CI Prof N N Y N 14182 CARECORE NATIONAL CI Prof N N N N 14179 CARECORE NATIONAL - AETNA RADIOLOGY CLAIMS CI Prof N N N N 14180 CARECORE NATIONAL - OXFORD RADIOLOGY CI Prof N N N N 14188 CARECORE WELLCARE NY RADIOLOGY NY CI Prof N N N N 75190 CAREFIRST ADMINISTRATORS (NCAS FAIRFAX) CI Prof N Y N N SB580 CAREFIRST BCBS DCNCA DC BL Prof N Y N Y SB690 CAREFIRST BCBS MARYLAND MD BL Prof N Y N Y SB580 CAREFIRST BCBS DCNCA INST DC BL Inst N N N Y SB690 CAREFIRST BCBS MARYLAND INST MD BL Inst N N N Y SB691 CAREFIRST DELMARVA HEALTH PLAN MD CI Prof N N N N 25140 CARELINK MEDICAID INST CI Inst N N N Y CLUHS CARELINK UNIVERSITY HEALTH SYSTEM CI Prof N N N N 91136 CAREMARK CI Inst N N N N CARMO CAREMORE HEALTH PLAN CA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CARMO CAREMORE HEALTH PLAN - INST CA CI Inst N N N N 93975 CAREOREGON OR CI Inst N N N N 93975 CAREOREGON OR CI Prof N N N N 65031 CAREPLUS HEALTH PLAN CI Prof N N N Y 95092 CAREPLUS HEALTH PLANS CI Prof N N N N 95092 CAREPLUS HEALTH PLANS - INST CI Inst N N N N INCS1 CARESOURCE INDIANA IN CI Prof N Y N N INCS1 CARESOURCE INDIANA INST IN CI Inst N N N N KYCS1 CARESOURCE KENTUCKY KY CI Prof N Y N Y 31114 CARESOURCE OHIO OH CI Prof N Y N Y 31114 CARESOURCE OHIO INST OH CI Inst N N N Y MRCHP CARESOURCE OREGON OR CI Prof N N N N MRCHP CARESOURCE OREGON INST OR CI Inst N N N N DAKC CAREWEST SD CI Inst N N N N DAKC CAREWEST CI Inst N N N N 35167 CAREWISE CI Prof N N N N 10010 CAREWORKS CI Prof N N N N 77015 CARILION CLINIC MEDICARE HEALTH PLAN CI Prof N N N N 62073 CARITEN HEALTH PLAN CI Prof N N N N 62073 CARITEN HEALTHCARE - INST CI Inst N N N N 62072 CARITEN SENIOR HEALTH CI Prof N N N N 62072 CARITEN SENIOR HEALTH - INST CI Inst N N N N 37245 CAROLINA BENEFIT ADMINISTRATOR CI Inst N N N N 29076 CAROLINA CARE PLAN (FORMERLY 57105) CI Prof N Y N N 29076 CAROLINA CARE PLAN (FORMERLY 57105) - INST CI Inst N N N N 56195 CAROLINA SUMMIT HEALTHCARE CI Prof N N N N 56195 CAROLINA SUMMIT HEALTHCARE - INST CI Inst N N N N 25125 CARPENTERS HEALTH WELFARE ST LOUIS CI Prof N N N Y 25125 CARPENTERS HEALTH AND WELFARE TRUST FUND OF CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CAS01 CASCADE EAST HEALTH PLAN OR CI Prof N N N N 93040 CASCADE EAST HEALTH PLANS CI Prof N N N N 93040 CASCADE EAST HEALTH PLANS CI Inst N N N N J1630 CASITAS MUNICIPAL WATER DISTRICT (CA) WC Prof N N N N J1630 CASITAS MUNICIPAL WATER DISTRICT (CA) (AUTO ONLY) AM Prof N N N N 37060 CATERPILLAR CI Prof N N N N 37060 CATERPILLAR INC CI Inst N N N N 41556 CATHOLIC DIOCESE OF SAN DIEGO WC Prof N N N N 41556 CATHOLIC MUTUAL - PREFERRED PROFESSIONAL INSURANCE COMPANY WC Prof N N N N 41556 CATHOLIC MUTUAL - VIRGINIA SURETY COMPANY, INC WC Prof N N N N 3036 CBA BLUE (COMPREHENSIVE BENEFITS ADMINISTRATOR, INC) CI Dental N N N Y 31158 CBIZ BENEFITS INSURANCE SERVICES CI Prof N N N N 65391 CBNHP HEALTH CHOICES CI Prof N N N N CCAI CCAI CI Inst N N N N 85468 CCAIL - COMMUNITY CARE ALLIANCE OF ILLINOIS IL CI Prof N N N N J1010 CCMSI WC Prof N N N N CCSTPA CCSTPA - BLUE LINK TPA MINNESOTA MN CI Prof N N N N 10050 CDH (CIGNA DENTAL CARE) CI Dental N N N N 88022 CDS GROUP HEALTH CI Prof N Y N N OBAEW CEDAR RAPIDS ELECTRICAL WORKERS (IBEW405) CI Prof N N N N 95166 CEDARS SINAI MEDICAL NETWORK CLAIMS CA CI Prof N N N N 41556 CEDARS-SINAI HEALTH SYSTEM WC Prof N N N N 95167 CEDARS-SINAI MEDICAL NETWORK SERVICES CI Prof N N N N 95167 CEDARSSINAI MEDICAL NETWORK ENCOUNTERS CA CI Prof N N N N CELTC CELTIC INSURANCE CI Prof N Y N N 68063 CELTIC INSURANCE CI Prof N N N N 68060 CELTICARE HEALTH PLAN MA CI Prof N Y N Y 68060 CELTICARE HEALTH PLAN INST MA CI Inst N N N Y 37250 CEMARA ADMINISTRATORS CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 37250 CEMARA ADMINISTRATORS INC CI Inst N N N N 91136 CEMENT MASONS PLASTERERS HEALTH WELFARE CI Inst N N N N 91136 CEMENT MASONS PLASTERERS HLTH WELFARE TRUST GRP F16 CI Prof N N N N 95386 CENCAL HEALTH (95386) CA CI Prof N Y N N CEN01 CENCAL INST CA CI Inst N N N N J1034 CENDANT CORPORATION WC Prof N N N N 68068 CENPATICO BEHAVIORAL HEALTH CI Prof N Y N Y 68048 CENPATICO BEHAVIORAL HEALTH ARIZONA AZ CI Prof N Y N Y 68048 CENPATICO BEHAVIORAL HEALTH ARIZONA - INST AZ CI Inst N N N Y 68058 CENPATICO BEHAVIORAL HEALTH FLORIDA FL CI Prof N Y N Y 68050 CENPATICO BEHAVIORAL HEALTH GEORGIA GA CI Prof N Y N Y 68065 CENPATICO BEHAVIORAL HEALTH ILLINOIS IL CI Prof N Y N Y 68065 CENPATICO BEHAVIORAL HEALTH ILLINOIS INST IL CI Inst N N N Y 68052 CENPATICO BEHAVIORAL HEALTH INDIANA IN CI Prof N Y N Y 68068 CENPATICO BEHAVIORAL HEALTH INST CI Inst N N N N 68047 CENPATICO BEHAVIORAL HEALTH KANSAS KS CI Prof N Y N Y 68068 CENPATICO BEHAVIORAL HEALTH KENTUCKY KY CI Prof N Y N Y 68068 CENPATICO BEHAVIORAL HEALTH MASSACHUSETTS MA CI Prof N Y N Y 68068 CENPATICO BEHAVIORAL HEALTH NEW HAMPSHIRE NH CI Prof N Y N Y 68051 CENPATICO BEHAVIORAL HEALTH OHIO OH CI Prof N Y N Y 68059 CENPATICO BEHAVIORAL HEALTH SOUTH CAROLINA SC CI Prof N Y N Y 68053 CENPATICO BEHAVIORAL HEALTH TEXAS TX CI Prof N Y N Y 68068 CENPATICO BEHAVIORAL HEALTH WISCONSIN WI CI Prof N Y N Y 42138 CENPATICO TPA CI Prof N N N N 68056 CENTENE ADVANTAGE PLANS CI Inst N N N N 68056 CENTENE ADVANTAGE PLANS CI Prof N N N Y 42139 CENTENE TPA CI Prof N N N Y 19895 CENTENNIAL INSURANCE COMPANY WC Prof N N N N 13360 CENTERLIGHT HEALTHCARE CI Prof N Y N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CPHL1 CENTERS PLAN FOR HEALTHY LIVING CI Prof N N N N CPHL1 CENTERS PLAN FOR HEALTHY LIVING - INST CI Inst N N N N IP080 CENTINELA IPA CA CI Prof N N N N MPM03 CENTINELA VALLEY IPA CA CI Prof N N N N CCA01 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH CA CI Prof N Y N N WH001 CENTRAL CALIFORNIA WOMENS HEALTH CA CI Prof N N N N IP037 CENTRAL COAST IPA CA CI Prof N N N N J1605 CENTRAL CONTRA COSTA TRANSIT AUTHORITY WC Prof N N N N J1605 CENTRAL CONTRA COSTA TRANSIT AUTHORITY (AUTO ONLY) AM Prof N N N N J1035 CENTRAL HOCKEY LEAGUE WC Prof N N N N 2041 CENTRAL MASS HEALTH CARE CI Prof N N N N 2041 CENTRAL MASS HEATH CARE CI Inst N N N N IP010 CENTRAL PENNSYLVANIA PHYSICIANS PA CI Prof N N N N 34097 CENTRAL RESERVE LIFE CI Prof N Y N N 34097 CENTRAL RESERVE LIFE - INST CI Inst N N N N 36215 CENTRAL STATES HEALTH WELFARE FUNDS CI Inst N N N N 36215 CENTRAL STATES HEALTH WELFARE FUNDS CI Prof N Y N N 37214 CENTRAL STATES JOINT BOARD HEALTH WELFARE TRUST FUND IL CI Prof N N N N IP131 CENTRAL VALLEY MEDICAL GROUP CA CI Prof N N N N 42140 CENTURION MN CI Prof N N N N 48120 CENTURY HEALTH SOLUTIONS CI Prof N N N N 36393 CENTURY PHO CI Prof N N N N 36393 CENTURY PHO - INST CI Inst N N N N 20356 CERNER HEALTHPLAN SERVICES (THE HEALTH EXCHANGE) CI Prof N Y N N 20356 CERNER HEALTHPLAN SERVICES - INST CI Inst N N N N 23171 CHA HEALTH CI Inst N N N N J1646 CHAFFEY JOINT UNION H S DISTRICT (CA) WC Prof N N N N J1646 CHAFFEY JOINT UNION H S DISTRICT (CA) (AUTO ONLY) AM Prof N N N N 84146 CHAMP VA HAC CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 84146 CHAMP VA HAC - INST CI Inst N N N N 41556 CHANDLER'S P VERDES WC Prof N N N N 41556 CHAPMAN CONVALESCENT WC Prof N N N N J1036 CHARMING SHOPPES, INC WC Prof N N N N 16600 CHAUTAUQUA COUNTY HEALTHCARE PLAN CI Prof N N N N 16600 CHAUTAUQUA COUNTY HEALTHCARE PLAN - INST CI Inst N N N N 25131 CHC DIAMOND MEDICAID INST CI Inst N N N Y 25131 CHC DIAMOND MEDICAID MARYLAND MD CI Prof N Y N Y 75261 CHEC - WEB TPA CI Prof N N N N J1908 CHESAPEAKE INSURANCE WC WC Prof N N N N 34154 CHESTERFIELD RESOURCES CI Prof N N N N 34154 CHESTERFIELD RESOURCES INST CI Inst N N N N J1479 CHESTERFIELD SERVICES, INC WC Prof N N N N J1479 CHESTERFIELD SERVICES, INC (AUTO ONLY) AM Prof N N N N COACC CHILD HEALTH PLAN (COACC CHP) CO CI Prof N Y N N 41556 CHILDREN'S HOSPITAL COLORADO WC Prof N N N N 41556 CHILDREN'S HOSPITAL OF ORANGE COUNTY - FIRST AID WC Prof N N N N DCHCH CHIP DRISCOLL CHILDRENS HEALTH PLAN TX CI Prof N N N N UHSCH CHIP - CHOICEONE UTMB TX CI Prof N N N N TTPCH CHIP-TEENS TO TOTS TX UNIVERSITY HEALTH TX CI Prof N N N N UPGCH CHIP-TX UNIVERSITY HEALTH PLAN UPG TX CI Prof N N N N CM001 CHIROMETRICS CI Prof N N N N CASD1 CHIROPRACTIC ASSOC OF SOUTH DAKOTA - DAKOTA CARE SD CI Prof N N N N LNDMK CHIROPRACTIC CARE OF MINNESOTA CI Prof N N N N CMG01 CHOICE MEDICAL GROUP CI Prof N N N N 76049 CHOICE ONE UTMB CHIP HEALTH PLAN TX CI Prof N N N N 76049 CHOICE ONEUTMB CHIP HEALTH PLAN CI Inst N N N N PR002 CHOICE PLUS CI Prof N N N N 60054 CHOICE PLUS (TRW) CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 68241 CHOICE PLUS (TRW) CI Inst N N N N UHSCH CHOICEONE- UTMB CHIP TX CI Prof N N N N 90441 CHP DIRECT SUPERMED CI Inst N N N N 90441 CHP DIRECT SUPERMED CI Prof N Y N N 38308 CHRISTIAN BROTHERS SERVICES CI Prof N Y N N 38308 CHRISTIAN BROTHERS SERVICES - INST CI Inst N N N N 59355 CHRISTIAN CARE MINISTRIES (MEDISHARE) CI Prof N N N N 59355 CHRISTIAN CARE MINISTRIES INST CI Inst N N N N 75544 CHRISTIE STUDENT HEALTH PLANS CI Prof N Y N N 21062 CHRISTUS HEALTH NEW MEXICO HIX NM CI Prof N Y N N 21062 CHRISTUS HEALTH NEW MEXICO HIX - INST NM CI Inst N N N N 52106 CHRISTUS HEALTH TEXAS HIX TX CI Prof N N N N 52106 CHRISTUS HEALTH TEXAS HIX - INST TX CI Inst N N N N SPOHN CHRISTUS SPOHN NETWORK CI Prof N N N N 37288 CHS CLAIMS CI Inst N N N N J1554 CHUBB AND SON WC Prof N N N N J1554 CHUBB AND SON (AUTO ONLY) AM Prof N N N N J1561 CHUBB SERVICES WC Prof N N N N J1561 CHUBB SERVICES (AUTO ONLY) AM Prof N N N N 41556 CHULA VISTA ELEMENTARY SCHOOL DISTRICT WC Prof N N N N J1265 CHURCH MUTUAL INSURANCE COMPANY (WC ONLY) WC Prof N N N N J1725 CHURCH MUTUAL INSURANCE COMPANY (WC ONLY) WC Prof N N N N J1264 CHURCH MUTUAL INSURANCE COMPANY - AUTO ONLY AM Prof N N N N J1532 CIGA (AUTO ONLY) AM Prof N N N N J1532 CIGA CALIFORNIA INSURANCE GUARANTEE ASSN WC WC Prof N N N N 62308 CIGNA CI Prof Y Y N Y 62308 CIGNA PPO CI Prof Y Y N Y 10050 CIGNA (DHMO) CI Dental N N N N 62308 CIGNA - INST CI Inst Y N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 2331 CIGNA BEHAVIORAL HEALTH CI Prof N N N N 2331 CIGNA BEHAVIORAL HEALTH - INST CI Inst N N N N 62308 CIGNA DENTAL CI Dental N Y N Y 62308 CIGNA HEALTH PLAN CI Prof Y N N Y 52192 CIGNA HEALTHSPRING CI Prof N Y N Y 52192 CIGNA HEALTHSPRING - INST CI Inst N N N N 86033 CIGNA MEDICARE ADVANTAGE CI Prof Y Y N N 86033 CIGNA MEDICARE ADVANTAGE - INST CI Inst Y Y N N 13193 CIGNA MEDICARE SUPPLEMENT CI Prof N N N Y 62308 CIGNA PREMIER PLUS CI Prof Y Y N Y 62308 CIGNA PROVIDER PIN CI Prof Y N N Y C1028 CIM INSURANCE CORPORATION (AUTO ONLY) AM Prof N N N N CIMHP CIMARRON HEALTH PLAN (COMMERCIAL) NM CI Prof N N N N J1562 CINCINNATI INSURANCE WC Prof N N N N J1562 CINCINNATI INSURANCE (AUTO ONLY) AM Prof N N N N J1582 CITIZENS INSURANCE COMPANY OF AMERICA WC Prof N N N N J1582 CITIZENS INSURANCE COMPANY OF AMERICA (AUTO ONLY) AM Prof N N N N TLU52 CITIZENS SECURITY LIFE INSURANCE DENTAL CI Dental N N N N 10207 CITRUS HEALTH PLAN CI Prof N N N N J1613 CITRUS VALLEY HEALTH PARTNERS WC Prof N N N N J1613 CITRUS VALLEY HEALTH PARTNERS (AUTO ONLY) AM Prof N N N N COA01 CITY OF AMARILLO HEALTH PLAN TX CI Prof N N N N J1118 CITY OF AMES WC Prof N N N N A0033 CITY OF ARLINGTON WC Prof N N N N 41556 CITY OF ASHLAND WC Prof N N N N J1516 CITY OF ATLANTA WC Prof N N N N 41556 CITY OF BEAVERTON WC Prof N N N N 41556 CITY OF BELMONT (SELF INSURED) WC Prof N N N N 41556 CITY OF CAMPBELL WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41556 CITY OF CARLSBAD WC Prof N N N N 41556 CITY OF CARMEL BY THE SEA WC Prof N N N N 41556 CITY OF CARSON WC Prof N N N N 41556 CITY OF CHULA VISTA WC Prof N N N N 41556 CITY OF COLTON WC Prof N N N N 41556 CITY OF CORONADO WC Prof N N N N J1441 CITY OF DALLAS WC Prof N N N N 41556 CITY OF DEL MAR WC Prof N N N N J1118 CITY OF DES MOINES WC Prof N N N N 41556 CITY OF EDINBURG, TEXAS WC Prof N N N N A0046 CITY OF EL PASO WC Prof N N N N 41556 CITY OF ENCINITAS WC Prof N N N N 41556 CITY OF ESCONDIDO WC Prof N N N N J1680 CITY OF FORT WORTH (TX) WC Prof N N N N J1680 CITY OF FORT WORTH (TX) (AUTO ONLY) AM Prof N N N N J1632 CITY OF FOUNTAIN VALLEY (CA) WC Prof N N N N J1632 CITY OF FOUNTAIN VALLEY (CA) (AUTO ONLY) AM Prof N N N N J1634 CITY OF GARDENA (CA) WC Prof N N N N J1634 CITY OF GARDENA (CA) (AUTO ONLY) AM Prof N N N N 41556 CITY OF GRAND JUNCTION WC Prof N N N N 41556 CITY OF HILLSBORO WC Prof N N N N J1444 CITY OF HOUSTON WC Prof N N N N 41556 CITY OF IMPERIAL BEACH (VOUCHER) WC Prof N N N N 41556 CITY OF IRVING WC Prof N N N N J1504 CITY OF JACKSONVILLE WC Prof N N N N J1711 CITY OF LA MESA 11 (CA) WC Prof N N N N J1711 CITY OF LA MESA 11 (CA) (AUTO ONLY) AM Prof N N N N J1653 CITY OF LAGUNA HILLS (CA) WC Prof N N N N J1653 CITY OF LAGUNA HILLS (CA) (AUTO ONLY) AM Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41556 CITY OF LEMON GROVE WC Prof N N N N 41556 CITY OF LOS ALTOS WC Prof N N N N J1536 CITY OF LOS ANGELES WC Prof N N N N 41556 CITY OF MERCED WC Prof N N N N J1269 CITY OF MINNEAPOLIS WC Prof N N N N J1714 CITY OF MONROVIA (CA) WC Prof N N N N J1714 CITY OF MONROVIA (CA) (AUTO ONLY) AM Prof N N N N 41556 CITY OF NATIONAL CITY WC Prof N N N N 41556 CITY OF OCEANSIDE WC Prof N N N N 75600 CITY OF ODESSA CI Prof N N N N J1721 CITY OF OMAHA (NE) WC Prof N N N N J1721 CITY OF OMAHA (NE) (AUTO ONLY) AM Prof N N N N 41556 CITY OF ONTARIO WC Prof N N N N J1657 CITY OF PASADENA (CA) WC Prof N N N N J1657 CITY OF PASADENA (CA) (AUTO ONLY) AM Prof N N N N J1617 CITY OF REDDING (CA) WC Prof N N N N J1617 CITY OF REDDING (CA) (AUTO ONLY) AM Prof N N N N 41556 CITY OF RICHARDSON WC Prof N N N N J1497 CITY OF SAN DIEGO WC Prof N N N N J1727 CITY OF SAN MATEO (CA) WC Prof N N N N J1727 CITY OF SAN MATEO (CA) (AUTO ONLY) AM Prof N N N N 41556 CITY OF SANTEE WC Prof N N N N J1598 CITY OF SNYDER (TX) WC Prof N N N N J1598 CITY OF SNYDER (TX) (AUTO ONLY) AM Prof N N N N 41556 CITY OF SOLANA BEACH WC Prof N N N N 41556 CITY OF SOUTH SAN FRANCISCO WC Prof N N N N J1602 CITY OF ST PAUL (MN) WC Prof N N N N J1602 CITY OF ST PAUL (MN) (AUTO ONLY) AM Prof N N N N J1636 CITY OF STANTON (CA) WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1636 CITY OF STANTON (CA) (AUTO ONLY) AM Prof N N N N J1664 CITY OF STOCKTON (CA) WC Prof N N N N J1664 CITY OF STOCKTON (CA) (AUTO ONLY) AM Prof N N N N J1607 CITY OF TOPEKA (KS) WC Prof N N N N J1607 CITY OF TOPEKA (KS) (AUTO ONLY) AM Prof N N N N J1645 CITY OF UPLAND (CA) WC Prof N N N N J1645 CITY OF UPLAND (CA) (AUTO ONLY) AM Prof N N N N 41556 CITY OF VISTA WC Prof N N N N 41556 CITY OF WACO WC Prof N N N N J1118 CITY OF WEST DES MOINES WC Prof N N N N J1700 CITY OF WESTMINSTER (CA) WC Prof N N N N J1700 CITY OF WESTMINSTER (CA) (AUTO ONLY) AM Prof N N N N J1708 CITY OF YORBA LINDA (CA) WC Prof N N N N J1708 CITY OF YORBA LINDA (CA) (AUTO ONLY) AM Prof N N N N 41556 CITY OF YUMA WC Prof N N N N 41556 CIVIL CONSTRUCTORS WC Prof N N N N CLFR2 CL FRATES CI Prof N N N N TLZ18 CL FRATES (OK) DENTAL CI Dental N N N N CMS01 CLAIM MANAGEMENT SERVICES (WI) CI Dental N N N N 39141 CLAIM MANAGEMENT SERVICES INC CI Prof N N N N 62413 CLAIMS ADMINISTRATION CORP (CAC) CI Prof N N N Y J1271 CLAIMS ADMINISTRATIVE SERVICES (CAS) WC Prof N N N N 39141 CLAIMS MANAGEMENT SERVICES CI Inst N N N N 39141 CLAIMS MANAGEMENT SERVICES CI Prof N N N N 11752 CLAIMSBRIDGE HPN CI Prof N N N N 57080 CLAIMSWARE CI Prof N N N N SHP11 CLARENDON KIDS CHIP PROGRAM TX MC Prof N N N N J1037 CLASSIC RESIDENCE BY HYATT WC Prof N N N N CCS99 CLAYTON COUNTY HEALTH BENEFIT PLAN CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 77201 CLEAR CHOICE HEALTH PLANS OR CI Prof N N N N 34172 CLEVELAND HEALTH NETWORK INST CI Inst N N N N 41201 CLIENT FIRST CI Prof N N N N 41201 CLIENT FIRST - INST CI Inst N N N N J1739 CLOUGHERTY PACKING, LLC WC Prof N N N N J1739 CLOUGHERTY PACKING, LLC (AUTO ONLY) AM Prof N N N N 77023 CLOVER INSURANCE CI Prof N Y N Y 77023 CLOVER INSURANCE - INST CI Inst N N N N 2041 CMHC CI Inst N N N N 20443 CNA INSURANCE WC Prof N N N N C1035 CNA INSURANCE (AUTO ONLY) AM Prof N N N N CHCNT CNIC - CHOICENET - INTERCARE CO CI Prof N N N N CHCNT CNIC - CHOICENET - INTERCARE - INST CO CI Inst N N N N 37227 CNIC HEALTH SOLUTIONS CI Prof N N N Y 16126 CNY MANAGE CARE CI Inst N N N N 16126 CNY MANAGED CARE CI Prof N N N N 41556 CO GRANDE CASINO WC Prof N N N N J1272 COACH USA WC Prof N N N N 41556 COAST CONVERTERS WC Prof N N N N 77052 COASTAL ADMINISTRATIVE SERVICES CI Prof N N N N CCPN1 COASTAL COMMUNITIES PHYSICIAN NETWORK CI Prof N N N N J1038 COCA-COLA ENTERPRISES INC WC Prof N N N N 38335 COFINITY (PPOM) CI Prof N N N N 38335 COFINITY (PPOM) CI Inst N N N N 38335 COFINITY FKA SLOANS LAKE CI Prof N N N N 41556 COLLIN COUNTY WC Prof N N N N COACC COLORADO ACCESS CO CI Prof N N N Y COACC COLORADO ACCESS - INST CO CI Inst N N N N PHD02 COLORADO ASSOCIATED PRIMARY CARE CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status COHMO COLORADO BLUE ADVANTAGE CO CI Prof N N N N J1428 COLORADO CASUALTY WC Prof N N N N 41556 COLORADO CONTRACTORS PROGRAM WC Prof N N N N 49718 COLORADO HEALTH INSURANCE COOPERATIVE CO CI Prof N N N N 41556 COLORADO HEALTHCARE ASSOC - SAFETY NATIONAL CASUALTY CORP WC Prof N N N N 41556 COLORADO PRIME CORP WC Prof N N N N 25351 COLUMBIA CORNELL CARE CI Inst N N N N 25351 COLUMBIA CORNELL CARE CI Prof N N N N J1039 COLUMBIA SUSSEX CORPORATION WC Prof N N N N 91162 COLUMBIA UNITED PROVIDERS CI Prof N Y N N CHP02 COLUMBINE HEALTH PLAN CI Prof N N N N 41556 COLUMBINE HEALTH SYSTEMS WC Prof N N N N 37271 COMBINED BENEFITS, INC CI Prof N N N N 37271 COMBINED BENEFITS, INC CI Inst N N N N 62308 COMED CIGNA CI Prof Y N N Y 34181 COMMERCE BENEFITS GROUP CI Dental N N N N 34181 COMMERCE BENEFITS GROUP CI Prof N N N N 77170 COMMON GROUND HEALTH COOPERATIVE CI Prof N N N N 37237 COMMONWEALTH ADMINISTRATIVE GROUP CI Inst N N N N 37237 COMMONWEALTH ADMINISTRATIVE GROUP CI Prof N N N N CATPA COMMONWEALTH ADMINISTRATORS VA CI Prof N N N N 14315 COMMONWEALTH CARE ALLIANCE CI Prof N N N N 14315 COMMONWEALTH CARE ALLIANCE - INST CI Inst N N N N 23171 COMMONWEALTH HEALTH ALLIANCE CHA CI Prof N N N N 85468 COMMUNITY CARE ALLIANCE OF ILLINOIS CI Prof N N N N 23282 COMMUNITY CARE BEHAVIORAL HEALTH ORG CI Prof N N N Y 23282 COMMUNITY CARE BEHAVIORAL HEALTH ORG - INST CI Inst N N N N 60995 COMMUNITY CARE INC - FAMILY CARE (WISCONSIN) CI Prof N N N N CCI01 COMMUNITY CARE IPA (CA) CA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 73143 COMMUNITY CARE MHP OF OKLAHOMA OK CI Prof N Y N N 73143 COMMUNITY CARE MHP OF OKLAHOMA - INST OK CI Inst N N N N 39126 COMMUNITY CARE ORGANIZATION CI Inst N N N N 39126 COMMUNITY CARE ORGANIZATION CI Prof N N N N 26231 COMMUNITY CLAIMS ADMINISTRATION CI Dental N N N N 26231 COMMUNITY CLAIMS ADMINISTRATION CI Inst N N N N 26231 COMMUNITY CLAIMS ADMINISTRATION CI Prof N N N N J1655 COMMUNITY DEVELOPMENT COMMISSION (CA) WC Prof N N N N J1655 COMMUNITY DEVELOPMENT COMMISSION (CA) (AUTO ONLY) AM Prof N N N N CAPMN COMMUNITY FAMILY CARE MEDICAL GROUP CA CI Prof N N N N COMMF COMMUNITY FIRST CI Prof N Y N N COMMF COMMUNITY FIRST STAR HEALTH PLAN CI Prof N N N N 39162 COMMUNITY HEALTH CI Inst N N N N 35193 COMMUNITY HEALTH ALLIANCE (CHA) NETWORK CI Prof N Y N N 27905 COMMUNITY HEALTH ALLIANCE TN TN CI Prof N N N N 27905 COMMUNITY HEALTH ALLIANCE TN- INST TN CI Inst N N N N 60495 COMMUNITY HEALTH CHOICE - MARKETPLACE CI Prof N N N N 60495 COMMUNITY HEALTH CHOICE - MARKETPLACE - INST CI Inst N N N N 48145 COMMUNITY HEALTH CHOICE - MEDICAID CI Prof N Y N Y 48145 COMMUNITY HEALTH CHOICE - MEDICAID INST CI Inst N N N N 75261 COMMUNITY HEALTH ELEC CLAIMS CI Prof N N N N 75261 COMMUNITY HEALTH ELECTRONIC CI Inst N N N N 66170 COMMUNITY HEALTH GROUP CA CI Prof N N N N 66170 COMMUNITY HEALTH GROUP - INST CA CI Inst N N N N CHPWA COMMUNITY HEALTH PLAN OF WASHINGTON WA CI Prof N Y N N CHPWA COMMUNITY HEALTH PLAN OF WASHINGTON - INST WA CI Inst N N N N 90010 COMMUNITY HEALTH PLAN ST JOSEPH CI Prof N N N N 90010 COMMUNITY HEALTH PLAN ST JOSEPH - INST MO CI Inst N N N N 39162 COMMUNITY HEALTH PLAN-MILWAUKEE, WI WI CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CMGWV COMMUNITY MEDICAL GROUP OF THE WEST VALLEY CA CI Prof N N N N 13374 COMMUNITY PREMIER PLUS CI Inst N N N N 32481 COMMUNITY PREMIER PLUS CI Prof N N N N 32481 COMMUNITY PREMIER PLUS FOR NEIGHBORHOOD CI Inst N N N N 34177 COMP - OHIO (AUSTINTOWN, OH) CI Prof N N N N 34177 COMP - OHIO (AUSTINTOWN, OH) CI Inst N N N N J1925 COMP WEST WC WC Prof N N N N PA331 COMPASS ACS BENEFIT SERVICES CI Prof N N N N J1040 COMPASS GROUP USA, INC WC Prof N N N N CX021 COMPBENEFITS (CHICAGO) - DENTAL CI Dental N N N N 34177 COMPENSATION PROGRAMS OF OHIO CI Dental N N N N 15243 COMPMANAGEMENT HEALTH SYSTEMS CI Prof N N N N 59314 COMPREHENSIVE BEHAVIORAL CARE CI Prof N N N N 59314 COMPREHENSIVE BEHAVIORAL CARE - INST CI Inst N N N N 3036 COMPREHENSIVE BENEFITS ADMIN CI Inst N N N N 3036 COMPREHENSIVE BENEFITS ADMINISTRATOR CI Prof N N N Y CCMC1 COMPREHENSIVE CARE MANAGEMENT GROUP CI Prof N N N N 37363 COMPSYCH CI Prof N N N N 37363 COMPSYCH - INST CI Inst N Y N N J1652 COMPTON UNIFIED SCHOOL DISTRICT (CA) WC Prof N N N N J1652 COMPTON UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY) AM Prof N N N N COMPU COMPUSYS OF COLORADO CO CI Prof N N N N 80667 CONFED ADMIN SERVICES, INC CI Prof N N N N 6105 CONNECTICARE CI Prof Y Y N Y 6105 CONNECTICARE - INST CI Inst Y N N Y 78375 CONNECTICARE MEDICARE VIP CI Prof Y Y N Y 78375 CONNECTICARE MEDICARE VIP INST CI Inst Y N N N 37307 CONNECTICUT CARPENTERS HEALTH FUND CI Dental N N N N 37307 CONNECTICUT CARPENTERS HEALTH FUND CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 37307 CONNECTICUT CARPENTERS HEALTH FUND CI Prof N N N N 62308 CONNECTICUT GENERAL CI Prof Y Y N Y 62308 CONNECTICUT GENERAL (CIGNA) DENTAL CI Dental N N N N 62308 CONNECTICUT GENERAL - INST CI Inst Y N N Y 37135 CONSOCIATE GROUP CI Prof N N N N 37135 CONSOCIATE GROUP - INST CI Inst N N N N 75284 CONSOLIDATED ASSOCIATES RAILROAD CI Prof N Y N N 75284 CONSOLIDATED ASSOCIATES RAILROAD CI Inst N N N N 61305 CONSOLIDATED GROUP DENTAL CI Dental N N N N 4274 CONSOLIDATED GROUP HPS CI Prof N N N N 87843 CONSOLIDATED HEALTH PLANS CI Prof N N N Y 87843 CONSOLIDATED HEALTH PLANS INST CI Inst N N N N 66077 CONSTELLATION HEALTH PR CI Prof N Y N N CNTNM CONSULTEC - NEW MEXICO MEDICAID NM MC Prof N N N N 37295 CONSUMER HEALTH SOLUTIONS CI Prof N N N N 37295 CONSUMER HEALTH SOLUTIONS - INST CI Inst N N N N 58112 CONSUMER MUTUAL OF MICHIGAN MI CI Prof N Y N N 58112 CONSUMER MUTUAL OF MICHIGAN - INST MI CI Inst N N N N 45321 CONSUMERS CHOICE HEALTH SC CI Prof N Y N N J1041 CONTECH CONSTRUCTION PRODUCTS WC Prof N N N N J1042 CONTINENTAL AIRLINES WC Prof N N N N 71404 CONTINENTAL GENERAL INSURANCE COMPANY CI Prof N Y N N 71404 CONTINENTAL GENERAL INSURANCE COMPANY INST CI Inst N N N N 35315 CONTINENTAL KEY FAMILY CI Prof N N N N 35315 CONTINENTAL KEY FAMILY INST CI Inst N N N N J1274 CONTINENTAL WESTERN INSURANCE CO (CWG) WC Prof N N N N 13397 CONTINUUM ABC MSO CI Prof N N N N J1715 CONTRA COASTAL COUNTY SCHOOLS INSURANCE GROUP (CCCSIG) WC Prof N N N N 47046 CONTRACTORS LABORERS TEAMSTERS ENGINEERS CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 47046 CONTRACTORS LABORERS TEAMSTERS ENGINEERS CI Prof N N N N J1043 CONVERGYS CORPORATION WC Prof N N N N 41556 COOK AND SOLIS CONST WC Prof N N N N CCHP1 COOK CHILDRENS HEALTH PLAN TX CI Prof N Y N Y CCHP1 COOK CHILDRENS HEALTH PLAN INST TX CI Inst N N N Y CCHP9 COOK CHILDRENS STAR HEALTH PLAN TX CI Prof N Y N Y CCHP9 COOK CHILDRENS STAR HEALTH PLAN INST TX CI Inst N N N Y 35149 COOK GROUP HEALTH PLAN CI Inst N N N N 35149 COOK GROUP HEALTH PLAN CI Prof N N N N 52132 COOPERATIVE BENEFIT ADMINISTRATORS CI Prof N Y N N 52132 COOPERATIVE BENEFIT ADMINISTRATORS (CBA) CI Prof N N N N 52132 COOPERATIVE BENEFIT ADMINISTRATORS (CBA) - INST CI Inst N N N N 52132 COOPERATIVE BENEFIT ADMINISTRATORS - DENTAL CI Dental N N N N 35199 COOPERATIVE MANAGED CARE SERVICES CI Prof N N N N 7003 COOPORTUNITY HEALTH INST CI Inst N N N N 14829 COORDINATED BENEFIT PLANS CI Prof N N N Y 14829 COORDINATED BENEFIT PLANS - INST CI Inst N N N N 68069 COORDINATED CARE WASHINGTON WA CI Prof N Y N Y 68069 COORDINATED CARE WASHINGTON INST WA CI Inst N N N N 58204 COORDINATED MEDICAL SPECIALISTS CI Prof N N N N 58231 CORE MANAGEMENT RESOURCES GROUP CI Prof N N N N 35182 CORESOURCE AZ MN CI Inst N N N Y 75136 CORESOURCE LITTE ROCK - INST CI Inst N N N Y 75136 CORESOURCE LITTLE ROCK AR CI Prof N Y N Y 35182 CORESOURCE MD PA IL CI Inst N N N Y 35182 CORESOURCE NC IN CI Inst N N N Y 35180 CORESOURCE NC-IN DENTAL CI Dental N N N N 35182 CORESOURCE OF AZ - MN CI Prof N Y N Y 35182 CORESOURCE OF MD-PA-IL CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 35182 CORESOURCE OF NC-IN CI Prof N N N Y 35183 CORESOURCE OHIO CI Prof N Y N Y 35183 CORESOURCE OHIO - INST CI Inst N N N Y 35187 CORESOURCE-INTERNAL CI Inst N N N N 35187 CORESOURCE-INTERNAL CI Prof N N N N 43160 CORIZON FKA CORRECTIONAL MEDICAL SERVICES CI Prof N N N N CORIZ CORIZON HEALTH INC CI Prof N N N N 35202 CORNERSTONE BENEFIT ADMINISTRATORS INDIANA IN CI Prof N N N Y CB268 CORNERSTONE PREFERRED RESOURCES CI Prof N N N N 37246 CORPORATE SYSTEMS ADMINISTR CI Inst N N N N 37246 CORPORATE SYSTEMS ADMINISTRATION CI Prof N N N N CCIH1 CORRECTCARE INTEGRATED HEALTH (CA PRISON HEALTH CARE SERVICES) CA CI Prof N N N N CCIH1 CORRECTCARE INTEGRATED HEALTH INST CA CI Inst N N N N J1044 CORRECTIONAL MANAGEMENT SERVICE WC Prof N N N N J1045 CORRECTIONS CORP OF AMERICA WC Prof N N N N 48146 CORSOLUTIONS CI Prof N N N N 37288 COTTAGE HEALTH SYSTEM CI Inst N N N N 37288 COTTAGE HOSPITAL CI Inst N N N N J1683 COTTINGHAM AND BUTLER CLAIM SERVICES, INC WC Prof N N N N J1683 COTTINGHAM AND BUTLER CLAIM SERVICES, INC (AUTO ONLY) AM Prof N N N N J1684 COUNTRY CASUALTY INSURANCE COMPANY WC Prof N N N N J1684 COUNTRY CASUALTY INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1712 COUNTRY INSURANCE MODERN SERVICE CASUALTY INSUR CO WC Prof N N N N J1712 COUNTRY INSURANCE MODERN SERVICE CASUALTY INSUR CO (AUTO ONLY) AM Prof N N N N J1572 COUNTRY INSURANCE MOUNTAIN STATES INSURANCE WC Prof N N N N J1572 COUNTRY INSURANCE MOUNTAIN STATES INSURANCE (AUTO ONLY) AM Prof N N N N J1591 COUNTRY INSURANCE MSI PREFERRED INSURANCE COMPANY WC Prof N N N N J1591 COUNTRY INSURANCE MSI PREFERRED INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 62553 COUNTRY LIFE INSURANCE COMPANY CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 62553 COUNTRY LIFE INSURANCE COMPANY CI Prof N Y N N J1702 COUNTRY MUTUAL INSURANCE COMPANY WC Prof N N N N J1702 COUNTRY MUTUAL INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1705 COUNTRY PREFERRED INSURANCE COMPANY WC Prof N N N N J1705 COUNTRY PREFERRED INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 41556 COUNTRY VILLA HEALTH SERVICES - SNCC WC Prof N N N N 41556 COUNTRY VILLA OX HLTH WC Prof N N N N 41556 COUNTY OF ALAMEDAAIG WC Prof N N N N J1603 COUNTY OF HUMBOLDT (CA) WC Prof N N N N J1603 COUNTY OF HUMBOLDT (CA) (AUTO ONLY) AM Prof N N N N J1935 COUNTY OF KERN WC WC Prof N N N N J1625 COUNTY OF LOS ANGELES WC Prof N N N N J1723 COUNTY OF LOS ANGELES (AIMS SANTA CLARITA) WC Prof N N N N J1625 COUNTY OF LOS ANGELES (AUTO ONLY) AM Prof N N N N J1722 COUNTY OF LOS ANGELES (TRISTAR SANTA ANA) WC Prof N N N N 41556 COUNTY OF MARIN WC Prof N N N N J1513 COUNTY OF SAN DIEGO WC Prof N N N N J1631 COUNTY OF SANTA BARBARA (CA) WC Prof N N N N J1631 COUNTY OF SANTA BARBARA (CA) (AUTO ONLY) AM Prof N N N N J1631 COUNTY OF SANTA BARBARA-CSAC (CA) WC Prof N N N N J1631 COUNTY OF SANTA BARBARA-CSAC (CA) (AUTO ONLY) AM Prof N N N N J1631 COUNTY OF SANTA BARBARA-NON-CSAC (CA) WC Prof N N N N J1631 COUNTY OF SANTA BARBARA-NON-CSAC (CA) (AUTO ONLY) AM Prof N N N N J1616 COUNTY OF SHASTA (CA) WC Prof N N N N J1616 COUNTY OF SHASTA (CA) (AUTO ONLY) AM Prof N N N N J1662 COUNTY OF SONOMA (CA) WC Prof N N N N J1662 COUNTY OF SONOMA (CA) (AUTO ONLY) AM Prof N N N N J1666 COUNTY OF TULARE (CA) WC Prof N N N N J1666 COUNTY OF TULARE (CA) (AUTO ONLY) AM Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 60827 COUNTYCARE (CLAIMS TO 42139) IL CI Prof N Y N N 41556 COURTYARD HEALTH C WC Prof N N N N 58102 COVENANT ADMIN ATLANTA, GA CI Inst N N N N 58102 COVENANT ADMINISTRATORS CI Dental N N N N 58102 COVENANT ADMINISTRATORS, INC (ATLANTA, GA) CI Prof N Y N N CMSEB COVENANT MGMT SYSTEMS EMPLOYEE BENEFIT PLAN CI Prof N N N N CMSEB COVENANT MGMT SYSTEMS EMPLOYEE BENEFIT PLAN - INST CI Inst N N N N 25133 COVENTRY - KANSAS CITY MEDICARE (ADVANTRA) CI Prof N N N Y 25152 COVENTRY ADVANTRA FREEDOM CI Inst N N N Y 25152 COVENTRY ADVANTRA FREEDOM CI Prof N N N Y 25152 COVENTRY ADVANTRA FREEDOM CI Prof N Y N Y 25152 COVENTRY ADVANTRA FREEDOM (TX NM AZ ONLY) CI Prof N Y N Y 25139 COVENTRY CARELINK ADVANTRA CI Prof N Y N Y 25140 COVENTRY CARELINK MEDICAID CI Prof N Y N Y 25142 COVENTRY CARENET CI Prof N Y N Y 25142 COVENTRY CARENET - INST CI Inst N N N Y CX014 COVENTRY DIAMOND PLAN DENTAL CI Dental N N N N 25133 COVENTRY HEALTH AND LIFE OKLAHOMA OK CI Prof N Y N Y 25133 COVENTRY HEALTH AND LIFE TENNESSEE TN CI Prof N Y N Y 25133 COVENTRY HEALTH CARE CI Inst N N N Y 25133 COVENTRY HEALTH CARE CI Prof N N N Y 87043 COVENTRY HEALTH CARE MISSOURI CI Prof N Y N Y 25149 COVENTRY HEALTH CARE NEVADA NV CI Prof N Y N Y 25130 COVENTRY HEALTH CARE OF DELAWARE DE CI Prof N Y N Y 25130 COVENTRY HEALTH CARE OF DELAWARE, INC CI Inst N N N Y 25133 COVENTRY HEALTH CARE OF FLORIDA FL CI Prof N Y N Y 25127 COVENTRY HEALTH CARE OF GEORGIA CI Inst N N N Y 25127 COVENTRY HEALTH CARE OF GEORGIA GA CI Prof N Y N Y 25146 COVENTRY HEALTH CARE OF ILLINOIS FKA PERSONALCARE IL CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 25132 COVENTRY HEALTH CARE OF IOWA IA CI Prof N Y N Y 25132 COVENTRY HEALTH CARE OF IOWA - INST CI Inst N N N Y 25133 COVENTRY HEALTH CARE OF KANSAS (KANSAS CITY) KS CI Prof N Y N Y 25133 COVENTRY HEALTH CARE OF KANSAS, INC - KANSAS CI Inst N N N Y 25133 COVENTRY HEALTH CARE OF KANSAS-WICHITA KS CI Prof N Y N Y 25135 COVENTRY HEALTH CARE OF LOUISIANA CI Inst N N N Y 25135 COVENTRY HEALTH CARE OF LOUISIANA LA CI Prof N Y N Y 25141 COVENTRY HEALTH CARE OF MISSOURI FKA GHP (GROUP HEALTH PLAN) MO CI Prof N Y N Y 25136 COVENTRY HEALTH CARE OF NEBRASKA NE CI Prof N Y N Y 25136 COVENTRY HEALTH CARE OF NEBRASKA, INC NE CI Inst N N N Y 25129 COVENTRY HEALTH CARE OF THE CAROLINAS CI Prof N Y N Y 25128 COVENTRY HEALTH CARE OF VIRGINIA FKA SOUTHERN HEALTH SERVICES VA CI Prof N Y N Y 25133 COVENTRY HEALTH CARE OF WV WV CI Prof N Y N Y 25147 COVENTRY HEALTH CARE SOUTH CI Prof N N N Y 25131 COVENTRY HEALTHCARE OF INDIANA IN CI Prof N N N Y 25129 COVENTRY HEALTHCARE OF THE CAROLINAS CI Inst N N N Y 25143 COVENTRY HEALTHCARE USA CI Prof N Y N Y 87043 COVENTRY NATIONAL NETWORK CI Inst N N N Y 87043 COVENTRY NATIONAL NETWORK CI Prof N Y N Y 25133 COVENTRYCARES OF KENTUCKY KY CI Prof N Y N Y 25150 COVENTRYCARES OF MICHIGAN FKA OMNICARE MI CI Prof N Y N Y 25133 COVENTRYCARES OF NEBRASKA FKA COVENTRY MEDICAID NE CI Prof N Y N Y 25133 COVENTRYCARES OF PENNSYLVANIA PA CI Prof N N N Y 25133 COVENTRYONE CI Prof N Y N Y J1046 COWORX STAFFING, LLC WC Prof N N N N 41556 COX CONSTRUCTION CO WC Prof N N N N 19 COX HEALTH PLAN CI Prof N Y N Y 119 COX HEALTH PLAN INST CI Inst N N N Y 41556 CPS SECURITY SOLUTIONS WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CPSA1 CPSA ARIZONA REG BEHAVIORAL HEALTH AUTHORITY AZ MC Prof N N Y N J1516 CR AND R WC Prof N N N N 64068 CREATIVE MEDICAL SYSTEMS CI Inst N N N N 64068 CREATIVE MEDICAL SYSTEMS CI Prof N N N N 37320 CREATIVE PLAN ADMINISTRATORS CI Prof N N N N J1455 CREATIVE RISK SOLUTIONS WC Prof N N N N 56213 CRESCENT HEALTH SOLUTIONS CI Prof N N N N J1550 CRESTBROOK INSURANCE COMPANY WC Prof N N N N 37266 CROY-HALL MGMT INC CI Inst N N N N 31348 CRUM FORSTER INDEMNITY CO WC Prof N N N N 46120 CRYSTAL RUN HEALTH PLAN CI Prof N N N N 46120 CRYSTAL RUN HEALTH PLAN - INST CI Inst N N N N 42141 CTI ADMINISTRATORS CI Prof N N N N J1690 CUCAMONGA SCHOOL DISTRICT (CA) WC Prof N N N N J1690 CUCAMONGA SCHOOL DISTRICT (CA) (AUTO ONLY) AM Prof N N N N 59140 CULINARY HEALTH FUND CI Prof N Y N N 39170 CUSTOM BENEFIT ADMINISTRATORS (LACROSSE, WI) CI Prof N N N N 82056 CUSTOM DESIGN BENEFITS CI Inst N N N N 82056 CUSTOM DESIGN BENEFITS CI Prof N N N N 68241 CUSTOMCARE CI Inst N N N N PR002 CUSTOMCARE CI Prof N N N N 60054 CUSTOMCARE (PRUDENTIAL) CI Prof Y N N Y J1457 CVSCAREMARKMINUTE CLINIC WC Prof N N N N 88056 CYPRESS BENEFIT ADMINISTRATORS CI Prof N N N N 47083 CYPRESS BENEFIT ADMINISTRATORS- GMS INC CI Prof N N N N 20044 CYPRESS INSURANCE COMPANY (MEMBER OF BHHC) WC Prof N N N N DEW99 D EDWARD WRIGHT CI Prof N N N N DEW01 D EDWARD WRIGHT TPA CI Dental N N N N J1118 DAHL'S FOODS WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41556 DAIMLERCHRYSLER CORPORATION WC Prof N N N N 21415 DAKOTA FIRE WC Prof N N N N C1029 DAKOTA FIRE AM Prof N N N N DAK01 DAKOTACARE SD CI Prof N Y N Y DAK01 DAKOTACARE - INST SD CI Inst N N N Y 65099 DALE ELECTRONICS CI Inst N N N N 41556 DALLAS COUNTY COMMUNITY COLLEGE DISTRICT WC Prof N N N N J1494 DALLAS INDEPENDENT SCHOOL DISTRICT TX WC Prof N N N N J1051 DANAHER CORPORATION WC Prof N N N N J1936 DARIGOLD WC Prof N N N N CB987 DART MEMBER CARE CI Prof N N N N CB987 DART MEMBER CARE - INST CI Inst N N N N 41556 DAVIS MECH SYSTEMS WC Prof N N N N 41556 DAYLIGHT TRANSPORT WC Prof N N N N DCHSF DCHS MEDICAL FOUNDATION CI Inst N N N N DCHSF DCHS MEDICAL FOUNDATION CI Prof N N N N J1058 DE BARTOLOS, INC WC Prof N N N N 39113 DEAN HEALTH PLAN CI Prof N Y N Y 39113 DEAN HEALTH PLAN - INST CI Inst N N N N 87726 DEFINITY HEALTH PLAN (UNITEDHEALTHCARE) CI Prof N N N Y 87726 DEFINITY HEALTH PLAN (UNITEDHEALTHCARE) - INST CI Inst N N N Y J1681 DEL TACO, LLC WC Prof N N N N J1681 DEL TACO, LLC (AUTO ONLY) AM Prof N N N N 25137 DELAWARE CARE (CHC OF DELAWARE MEDICAID) INST CI Inst N N N N 63081 DELAWARE HEALTH PLAN CONSORTIUM DE CI Prof N N N N 63081 DELAWARE HLTH PLAN CONSORTIUM CI Inst N N N N 25137 DELAWARECARE CI Prof N N N N 94276 DELTA DENTAL INSURANCE COMPANY DDIC CI Dental N N N N 94276 DELTA DENTAL OF ALABAMA AL CI Dental N Y N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CDOR1 DELTA DENTAL OF ALASKA CI Dental N N N N DELAR DELTA DENTAL OF ARKANSAS CI Dental N N N N 77777 DELTA DENTAL OF CALIFORNIA CA CI Dental N Y N N CDCA1 DELTA DENTAL OF CALIFORNIATRICARE RETIREE DENTAL (TRICARE ONLY - NOT DD OF CA) CI Dental N N N N 84056 DELTA DENTAL OF COLORADO CO CI Dental N Y N N 22189 DELTA DENTAL OF CONNECTICUT CI Dental N N N N 51022 DELTA DENTAL OF DELAWARE CI Dental N N N N 94276 DELTA DENTAL OF FLORIDA FL CI Dental N Y N N 94276 DELTA DENTAL OF GEORGIA GA CI Dental N Y N N 82029 DELTA DENTAL OF IDAHO CI Dental N N N N 47598 DELTA DENTAL OF ILLINOIS CI Dental N N N N DELTI DELTA DENTAL OF INDIANA CI Dental N N N N CDKS1 DELTA DENTAL OF KANSAS CI Dental N N N N CDKY1 DELTA DENTAL OF KENTUCKY CI Dental N N N N 94276 DELTA DENTAL OF LOUISIANA LA CI Dental N Y N N 23166 DELTA DENTAL OF MARYLAND CI Dental N N N N 4614 DELTA DENTAL OF MASSACHUSETTS MA CI Dental N N N N DELTA DELTA DENTAL OF MICHIGAN CI Dental N N N N CDMN1 DELTA DENTAL OF MINNESOTA MN CI Dental N N N N 94276 DELTA DENTAL OF MISSISSIPPI CI Dental N N N N 43090 DELTA DENTAL OF MISSOURI (CLAIMS ONLY) CI Dental N N N N TFQ69 DELTA DENTAL OF MISSOURI (PRE-DETERMINATIONS ONLY) CI Dental N N N N 94276 DELTA DENTAL OF MONTANA CI Dental N N N N 7027 DELTA DENTAL OF NEBRASKA NE CI Dental N N N N 94276 DELTA DENTAL OF NEVADA CI Dental N N N N 22189 DELTA DENTAL OF NEW JERSEY NJ CI Dental N Y N N DELTM DELTA DENTAL OF NEW MEXICO CI Dental N N N N 11198 DELTA DENTAL OF NEW YORK NY CI Dental N Y N N 56101 DELTA DENTAL OF NORTH CAROLINA NC CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status
DELTO DELTA DENTAL OF OHIO OH CI Dental N Y N N DELOK DELTA DENTAL OF OKLAHOMA OK CI Dental N N N N 23166 DELTA DENTAL OF PENNSYLVANIA PA CI Dental N Y N N 5029 DELTA DENTAL OF RHODE ISLAND RI CI Dental N Y N N 43091 DELTA DENTAL OF SOUTH CAROLINA SC CI Dental N N N N 54097 DELTA DENTAL OF SOUTH DAKOTA SD CI Dental N N N N DELTN DELTA DENTAL OF TENNESSEE TN CI Dental N N N N 94276 DELTA DENTAL OF TEXAS TX CI Dental N N N N 94276 DELTA DENTAL OF UTAH UT CI Dental N N N N CDVA1 DELTA DENTAL OF VIRGINA VA CI Dental N N N N 91062 DELTA DENTAL OF WASHINGTON WA CI Dental N N N N 52147 DELTA DENTAL OF WASHINGTON DC DC CI Dental N N N N 31096 DELTA DENTAL OF WEST VIRGINIA WV CI Dental N N N N 39069 DELTA DENTAL OF WISCONSIN WI CI Dental N N N N 7025 DELTA DENTAL OF WYOMING WY CI Dental N N N N 94235 DELTA HEALTH SYSTEMS CI Prof N N N N 94235 DELTA HEALTH SYSTEMS - INST CI Inst N N N N DHS01 DELTA HEALTH SYSTEMS CALIFORNIA CA CI Prof N N N N CDCA2 DELTACARE USA PRIVATE MEDICAL CARE (PMI) - CLAIMS ONLY CI Dental N N N N 52133 DENTAL BENEFIT PROVIDERS (CA) CI Dental N N N N DCP01 DENTAL CARE PLUS (DCP) CI Dental N N N N DSL01 DENTAL SELECT, INC CI Dental N N N N 4356 DENTAQUEST COMMERCIAL CI Dental N N N N 84135 DENVER HEALTH MEDICAL PLAN CI Prof N Y N N 84135 DENVER HEALTH MEDICAL PLAN CI Inst N N N N 41556 DENVER PUBLIC SCHOOLS WC Prof N N N N J1449 DEPARTMENT OF ENERGY WC Prof N N N N J1448 DEPARTMENT OF LABOR BLACK LUNG WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1514 DEPARTMENT OF WATER AND POWER OF THE CITY OF LOS ANGELES (LADWP) WC Prof N N N N J1550 DEPOSITORS INS CO WC Prof N N N N 41556 DESERT HOSPITAL DISTRICT WC Prof N N N N IP114 DESERT MEDICAL GROUP OASIS CI Prof N N N N 41556 DESERT PRINCESS WC Prof N N N N MDL99 DETROIT LABORERS (METROPOLITAN) MI CI Prof N N N N 56240 DETROIT MEDICAL CENTER MI CI Inst N N N N 56240 DETROIT MEDICAL CENTER MI CI Prof N N N N 25172 DH EVANS AND ASSOCIATES CI Prof N Y N N 41556 DIAMOND FARMING COMPANY WC Prof N N N N DHFIE DIGNITY HEALTH MEDICAL GROUP - INLAND EMPIRE CI Prof N N N N 23706 DIRECTORS GUILD OF AMERICA CI Prof N Y N N J1059 DIRECTORY DISTRIBUTING ASSOC WC Prof N N N N J1611 DISCOUNT TIRE WC Prof N N N N J1611 DISCOUNT TIRE (AUTO ONLY) AM Prof N N N N J1060 DISCOVER RE (BURGER KING) WC Prof N N N N J1118 DISCOVERY HY-VEE WC Prof N N N N 77104 DIV COAL MINE WORKER (USDOL BLACK LUNG) WC Prof N N Y Y 77103 DIV ENERGY EE OCCUPATIONAL (USDOL) WC Prof N N Y Y 6102 DIVERSIFIED ADMINISTRATION CORPORATION CI Inst N N N N 6102 DIVERSIFIED ADMINISTRATION CORPORATION CI Prof N N N N SX105 DMBA - DESERET MUTUAL BENEFITS ASSOCIATION UT CI Prof N Y Y Y 16003 DMERC REGION A MB Prof N N Y Y 17003 DMERC REGION B MB Prof N N Y Y 18003 DMERC REGION C MB Prof N Y Y Y 19003 DMERC REGION D MB Prof N N Y Y IP110 DOCTORS MEDICAL GROUP CI Prof N N N N DOM01 DOMINION DENTAL USA (DHMO AND COMMERCIAL) CI Dental N N N N CX014 DORAL DENTAL OF ARIZONA NON GLOBAL BUDGET CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CX014 DORAL DENTAL OF CONNECTICUT CI Dental N N N N CX014 DORAL DENTAL OF ILLINOIS CI Dental N N N N CX014 DORAL DENTAL OF KANSAS CI Dental N N N N CX014 DORAL DENTAL OF KENTUCKY CI Dental N N N N CX014 DORAL DENTAL OF MARYLAND HELIX CI Dental N N N N CX014 DORAL DENTAL OF MARYLAND PHYSICIANS CARE CI Dental N N N N CX014 DORAL DENTAL OF MARYLAND PRIORITY PARTNERS CI Dental N N N N CX014 DORAL DENTAL OF MINNESOTA (M) CI Dental N N N N CX014 DORAL DENTAL OF MINNESOTA MEDICARE CI Dental N N N N CX014 DORAL DENTAL OF MISSOURI ST LOUIS CI Dental N N N N CX014 DORAL DENTAL OF MISSOURI- KANSAS CITY CI Dental N N N N CX014 DORAL DENTAL OF NEBRASKA CI Dental N N N N CX014 DORAL DENTAL OF NEW JERSEY AMERIGROUP CI Dental N N N N CX014 DORAL DENTAL OF NEW JERSEY HEALTHNET CI Dental N N N N CX014 DORAL DENTAL OF NEW MEXICO CI Dental N N N N CX014 DORAL DENTAL OF NEW YORK CI Dental N N N N CX014 DORAL DENTAL OF NEW YORK NON GLOBAL BUDGET CI Dental N N N N CX014 DORAL DENTAL OF OHIO (M) CI Dental N N N N CX014 DORAL DENTAL OF OKLAHOMA COMMUNITY CARE CI Dental N N N N CX014 DORAL DENTAL OF OKLAHOMA HEARTLAND CI Dental N N N N CX014 DORAL DENTAL OF OKLAHOMA NON GLOBAL BUDGET CI Dental N N N N CX014 DORAL DENTAL OF OKLAHOMA UNICARE CI Dental N N N N CX014 DORAL DENTAL OF OKLAHOMA UNICARE NON GLOBAL CI Dental N N N N CX014 DORAL DENTAL OF PENNSYLVANIA HEALTHMATE CI Dental N N N N CX014 DORAL DENTAL OF PENNSYLVANIA PITTSBURGH CI Dental N N N N CX014 DORAL DENTAL OF PENNSYLVANIA -- AMERIHEALTH CI Dental N N N N CX014 DORAL DENTAL OF PENNSYLVANIA -- KEYSTONE CI Dental N N N N CX014 DORAL DENTAL OF PENNSYLVANIA -- PHILADELPHIA CI Dental N N N N CX014 DORAL DENTAL OF ARIZONA - CIGNA CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CX014 DORAL DENTAL OF VIRGINIA COMMERCIAL CI Dental N N N N CX014 DORAL DENTAL OF VIRGINIA PREMIER CI Dental N N N N CX014 DORAL DENTAL OF VIRGINIA SENTARA CI Dental N N N N CX014 DORAL DENTAL OF VIRGINIA UNICARE CI Dental N N N N CX014 DORAL DENTAL OF VIRGINIA (M) CI Dental N N N N CX014 DORAL DENTAL PLAN OF WISCONSIN CI Dental N N N N 41556 DOUGLAS COUNTY WC Prof N N N N 74284 DRISCOLL CHILDRENS HEALTH PLAN TX CI Prof N N N N 74284 DRISCOLL CHILDRENS HEALTH PLAN CHIP TX CI Prof N Y N N 74284 DRISCOLL CHILDRENS HEALTH PLAN - INST TX CI Inst N N N N 35186 DUNN AND ASSOCIATES CI Prof N N N N J1061 DUNN-EDWARDS CORPORATION WC Prof N N N N 41556 DURANGO COFFEE CO WC Prof N N N N J1118 DUSTROL WC Prof N N N N J1062 DYNAMEX, INC WC Prof N N N N 34159 E-V BENEFITS MANAGEMENT, INC CI Inst N N N N 34159 E-V BENEFITS MANAGEMENT, INC CI Dental N N N N 75232 E3 HEALTH INC CI Prof N N N N 41556 EAGLE PASS ISD WC Prof N N N N 36434 EARLY INTERVENTION CENTRAL BILLING CI Prof N N N N J1690 EAST SAN GABRIEL VALLEY ROP (CA) WC Prof N N N N J1690 EAST SAN GABRIEL VALLEY ROP (CA) (AUTO ONLY) AM Prof N N N N J1639 EASTERN MUNICIPAL WATER DISTRICT (CA) WC Prof N N N N J1639 EASTERN MUNICIPAL WATER DISTRICT (CA) (AUTO ONLY) AM Prof N N N N J1453 EASTGUARD INSURANCE COMPANY - GUARD DBA WC Prof N N N N 13853 EASY CHOICE HEALTH PLAN NY - ATLANTIS COMM NY CI Prof N N N N 24770 EASY CHOICE HEALTH PLAN NY - MEDICARE CI Prof N N N N 62308 EATON BENEFITS OH CI Prof Y Y N Y 81039 EBMS - EMPLOYEE BENEFIT MANAGEMENT SERVICES CI Prof N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 12X44 EBMS - EMPLOYEE BENEFIT MANAGEMENT SERVICES - INST CI Inst N N N N 37257 EBSO AKA EMPLOYEE BENEFIT CONSULTANTS INC CI Prof N N N N 41556 ECHO PACIFIC DEVELOP WC Prof N N N N J1289 EDIC WC Prof N N N N 41556 EDINBURG CONSOLIDATED INDEPENDENT SCHOOL DISTRICT WC Prof N N N N 22521 EDS ADMIN SERVICES OK CI Prof N N N Y 22521 EDS ADMIN SERVICES HARRINGTON BENEFIT - INST CI Inst N N N Y J1204 EDWARDS CLAIM ADMINISTRATION WC Prof N N N N 98006 EHS GROUP HEALTH PLAN CI Inst N N N N EPF37 EL PASO - HEALTHCARE OPTIONS TX CI Inst N N Y Y EPF37 EL PASO - HEALTHCARE OPTIONS TX CI Prof N N Y Y A0106 EL PASO COMMUNITY COLLEGE (TX JUR) WC Prof N N N N EPF03 EL PASO FIRST - CHIP TX CI Inst N N Y Y EPF03 EL PASO FIRST - CHIP TX CI Prof N N Y Y EPF02 EL PASO FIRST - STAR - PREMIER TX CI Inst N N Y Y EPF02 EL PASO FIRST - STAR - PREMIER TX CI Prof N N Y Y EPF10 EL PASO FIRST- PREFERRED ADMINISTRATORS TX CI Inst N N Y Y EPF10 EL PASO FIRST- PREFERRED ADMINISTRATORS TX CI Prof N N Y Y J1017 EL PASO WATER UTIL TX JUR WC Prof N N N N J1737 EL POLLO LOCO WC Prof N N N N J1737 EL POLLO LOCO (AUTO ONLY) AM Prof N N N N MPM04 EL PROYECTO DE BARRIO CI Prof N N N N 41556 ELC ELECTRIC INC WC Prof N N N N 31625 ELDERPLAN, INC CI Prof N Y N Y EWF99 ELECTRICAL WORKERS BENEFIT FUND CI Prof N N N N EWF01 ELECTRICAL WORKERS BENEFIT FUND DENTAL CI Dental N N N N 41556 ELITE COMP WC Prof N N N N ECISF ELLIS CONSULTANTS, INC CI Prof N N N N 37253 ELMCO CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 37253 ELMCO CI Inst N N N N C1029 EMC PROPERTY AND CASUALTY - AUTO ONLY AM Prof N N N N 21415 EMC PROPERTY AND CASUALTY - WC ONLY WC Prof N N N N C1029 EMCASCO INSURANCE CO - AUTO ONLY AM Prof N N N N 21407 EMCASCO INSURANCE CO - WC ONLY WC Prof N N N N 34167 EMERALD HEALTH NETWORK CI Prof N N N N 34167 EMERALD HEALTH NETWORK - INST CI Inst N N N N J1679 EMERITUS CORPORATION WC Prof N N N N J1679 EMERITUS CORPORATION (AUTO ONLY) AM Prof N N N N SX110 EMIA EDUCATORS MUTUAL INSURANCE ASSN UT CI Prof N N Y Y PR002 EMORYCARE CI Prof N N N N 60054 EMORYCARE (PRUDENTIAL) CI Prof N N N Y 73288 EMPHESYS CI Prof N N N N TELBS803 EMPIRE BCBS NEW YORK (TELEMEDICINE) NY BL Prof N N N N BC303 EMPIRE BLUE CROSS BLUE SHIELD NEW YORK INST NY BL Inst Y Y Y Y BS803 EMPIRE BLUE SHIELD NEW YORK NY BL Prof Y Y N Y IP115 EMPIRE MEDICAL GROUP CI Prof N N N N IP079 EMPIRE PHYSICIANS MEDICAL GROUP EPMG CA CI Prof N N N N 87726 EMPIRE PLAN (UNITEDHEALTHCARE) CI Prof Y N N Y CX025 EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) - DENTAL CI Dental N N N N 95288 EMPLOYEE BENEFIT ADMINISTRATORS MGMT CI Prof N N N N 38241 EMPLOYEE BENEFIT CONCEPTS CI Prof N N N N 38241 EMPLOYEE BENEFIT CONCEPTS (FARMINGTON HILLS, CI Inst N N N N 38241 EMPLOYEE BENEFIT CONCEPTS DENTAL CI Dental N N N N 92135 EMPLOYEE BENEFIT LOGISTICS (EBL) CI Prof N N N N 92135 EMPLOYEE BENEFIT LOGISTICS (EBL) INST CI Inst N N N N 31074 EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) CI Prof N N N N 81039 EMPLOYEE BENEFIT MANAGEMENT SVCS CI Prof N N N Y 3036 EMPLOYEE BENEFIT PLAN ADMIN CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 3036 EMPLOYEE BENEFIT PLAN ADMINISTRATION CI Prof N N N N 3036 EMPLOYEE BENEFIT PLAN ADMINISTRATION, INC (EBPA) CI Dental N N N N 37216 EMPLOYEE BENEFIT SERVICES (EBS) CI Prof N N N N EBSSA EMPLOYEE BENEFIT SERVICES (EBS) OF SAN ANTONIO CI Prof N N N N 37216 EMPLOYEE BENEFIT SERVICES - INST CI Inst N N N N 41198 EMPLOYEE BENEFIT SERVICES OF LA(DIVISION OF HARRINGTON BENEFIT SVCS) LA CI Prof N N N N 37257 EMPLOYEE BENEFITS CONSULTANTS DENTAL CI Dental N N N N 75184 EMPLOYEE CLAIM ADJUDICATION SERVICES TX CI Prof N N N N 75299 EMPLOYEE HEALTH SYSTEM MEDICAL GROUP CI Prof N N N N 35112 EMPLOYEE PLANS, LLC CI Dental N N N N 35112 EMPLOYEE PLANS, LLC CI Prof N N N N 35112 EMPLOYEE PLANS, LLC CI Inst N N N N J1232 EMPLOYER INSURANCE GROUP (EIG) WC Prof N N N N 74212 EMPLOYER PLAN SERVICES CI Prof N N N N 74212 EMPLOYER PLAN SERVICES INST CI Inst N N N N J1559 EMPLOYER'S CLAIM SERVICE, INC - CITY OF NAPERVILLE WC Prof N N N N J1232 EMPLOYERS ASSURANCE COMPANY WC Prof N N N N MSI01 EMPLOYERS COALITION ON HEALTH CI Prof N N N N 36335 EMPLOYERS COALITION ON HEALTH (ECOH) CI Prof N N N N MIDSC EMPLOYERS COALITION ON HEALTH (ECOH) CI Prof N N N N J1232 EMPLOYERS COMPENSATION INSURANCE COMPANY WC Prof N N N N 75232 EMPLOYERS DIRECT HEALTH CI Inst N N N N 75236 EMPLOYERS DIRECT HEALTH (EMPLOYEE PLAN) CI Prof N N N N 75235 EMPLOYERS DIRECT HEALTH (FULLY INSURED) CI Prof N N N N 75233 EMPLOYERS DIRECT HEALTH (SELF FUNDED PLAN) CI Prof N N N N 75223 EMPLOYERS DIRECT HEALTH - SF CI Prof N N N N J1696 EMPLOYERS GENERAL INSURANCE GROUP WC Prof N N N N J1696 EMPLOYERS GENERAL INSURANCE GROUP (AUTO ONLY) AM Prof N N N N MSI01 EMPLOYERS HEALTH COOPERATIVE CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status MIDSC EMPLOYERS HEALTH COOPERATIVE (EHC) CI Prof N N N N 73288 EMPLOYERS HEALTH INSURANCE CI Prof N N N N 20508 EMPLOYERS HEALTH NETWORK CI Inst N N N N 20508 EMPLOYERS HEALTH NETWORK CI Prof N N N N 39206 EMPLOYERS INS OF WAUSAU HOSP CI Inst N N N N J1912 EMPLOYERS INSURANCE (BUNCH) WC Prof N N N N 37249 EMPLOYERS LIFE INSURANCE CORP CI Inst N N N N 37249 EMPLOYERS LIFE INSURANCE CORP CI Prof N N N N 37249 EMPLOYERS LIFE INSURANCE CORP ELIC CI Prof N N N N C1029 EMPLOYERS MUTUAL CASUALTY - AUTO ONLY AM Prof N N N N
21415 EMPLOYERS MUTUAL CASUALTY - WC ONLY WC Prof N N N N 59298 EMPLOYERS MUTUAL INC FL CI Prof N N N N 59298 EMPLOYERS MUTUAL, INC (FL) CI Inst N N N N J1232 EMPLOYERS PREFERRED INSURANCE COMPANY WC Prof N N N N 37110 ENCOMPASS CI Inst N N N N 37110 ENCOMPASS CI Prof N N N N 35206 ENCORE HEALTH NETWORK CI Prof N N N N 36364 ENH MEDICAL GROUP IPA CI Inst N N N N 36364 ENH MEDICAL GROUP IPA CI Prof N N N N 91136 ENSTAR NATURAL GAS CI Inst N N N N 91136 ENSTAR NATURAL GAS CI Prof N N N N 36878 ENTRUST CI Prof N N N N 36878 ENTRUST INST CI Inst N N N N J1063 ENVIROSOURCE WC Prof N N N N 41556 ENVISION RADIOLOGY, LLC WC Prof N N N N 41556 EPLICA, INC WC Prof N N N N EPNSH EPN - SETON HEALTH EXCLUSIVE PROVIDER NETWORK TX CI Prof N N N N 28777 EPOCH GROUP CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 62308 EQUICOR CI Prof Y Y N Y 62308 EQUICOR PPO CI Prof Y N N Y 62308 EQUICOR PPO CI Prof Y N N Y 62308 EQUICOREQUITABLE CI Prof Y N N Y 73126 EQUITABLE PLAN SERVICES (OKLAHOMA CITY) CI Prof N N N Y 73126 EQUITABLE PLAN SERVICES (OKLAHOMA CITY) - INST CI Inst N N N N 73126 EQUITABLE PLAN SERVICES - DENTAL OK CI Dental N N N N 41556 ERICKSON-HALL CONSTR WC Prof N N N N 74234 ERISA CI Prof N N N N J1022 ERMC WC Prof N N N N 34108 ES BEVERIDGE AND ASSOCIATES OH CI Prof N N N Y TP043 ESIS WC Prof N N N N J1064 ESIS - FIRST AMERICAN INSURANCE CO WC Prof N N N N J1451 ESIS - KELLY SERVICES WC Prof N N N N J1454 ESIS - LOCKHEED MARTIN CORPORATION WC Prof N N N N 20818 ESSENCE HEALTHCARE CI Prof N Y N Y 25712 ESURANCE INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 87726 EVERCARE VIA UNITED HEALTHCARE CI Prof Y Y N Y 35605 EVERENCE CI Prof N Y N Y 35605 EVERENCE INST CI Inst N N N N 45319 EVERGREEN HEALTH CI Prof N Y N N 45319 EVERGREEN HEALTH - INST CI Inst N N N N 93240 EVERGREEN HEALTH COOPERATIVE (VALENCE) CI Prof N Y N N 93240 EVERGREEN HEALTH COOPERATIVE (VALENCE) - INST CI Inst N N N N J1065 EVOLUTION INSURANCE COMPANY WC Prof N N N N 59313 EVOLUTIONS HEALTHCARE SYSTEMS CI Inst N N N N 59313 EVOLUTIONS HEALTHCARE SYSTEMS CI Prof N N N N IP080 EXCEPTIONAL CARE MEDICAL CA CI Prof N N N N TEMU1 EXCLUSICARE (MUST HAVE UCCI ON BACK OF MEMBER CARD) CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 71412 EXCLUSICARE - INST CI Inst N N N N J1606 EXXONMOBIL CORPORATION WC Prof N N N N J1606 EXXONMOBIL CORPORATION (AUTO ONLY) AM Prof N N N N 63740 EYEQUEST CI Prof N N N N 41556 F AND G GUARANTY INS COMAIN STREET PROGRAM COLORADO WC Prof N N N N 37289 FA RICHARD ASSOCIATES, INC CI Inst N N N N 95432 FACEY MEDICAL FOUNDATION CI Prof N N N N 37300 FACS GROUP CI Inst N N N N 37300 FACS GROUP CI Prof N N N N J1019 FACTORY 2 U WC Prof N N N N J1624 FAIRCHILD FASTENERS WC Prof N N N N J1624 FAIRCHILD FASTENERS (AUTO ONLY) AM Prof N N N N J1697 FAIRMONT SPECIALTY INSURANCE COMPANY - TX WC Prof N N N N J1697 FAIRMONT SPECIALTY INSURANCE COMPANY - TX (AUTO ONLY) AM Prof N N N N J1618 FAIRVIEW HEALTH SERVICES WC Prof N N N N J1618 FAIRVIEW HEALTH SERVICES (AUTO ONLY) AM Prof N N N N 22254 FALLON COMMUNITY HEALTH CI Prof N Y N N IP017 FAMILY SENIORS MEDICAL GROUP CA CI Prof N N N N FCD01 FAMILY CARE MEDICAID CI Prof N N N N PHR01 FAMILY CARE MEDICARE (FCR01) CI Prof N N N N FCM01 FAMILY CARE MENTAL HEALTH CI Prof N Y N N FCS01 FAMILY CARE SPECIALISTS CA CI Prof N N N N IP080 FAMILY CHOICE MEDICAL CA CI Prof N N N N 41556 FAMILY HEALTH AND HOUSING WC Prof N N N N 85468 FAMILY HEALTH NETWORK CI Prof N N N N 85468 FAMILY HEALTH NETWORK - INST CI Inst N N N N 31472 FAMILY HEALTH PARTNERS - HEALTHWAVE KS CI Prof N N N Y 31472 FAMILY HEALTH PARTNERS - HEALTHWAVE - INST KS CI Inst N N N Y 43173 FAMILY HEALTH PARTNERS MISSOURI MO CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 43173 FAMILY HEALTH PARTNERS MISSOURI MO CI Prof N N N Y 96865 FAMILY HEALTH PLAN CONTACT PAM CAMPBELL OH CI Prof N N N N 39518 FAMILY HEALTH SYSTEMS CI Inst N N N N 36396 FAMILY MEDICAL NETWORK CI Prof N N N N FPA11 FAMILY PRACTICE ASSOCIATES CI Prof N N N N FPA11 FAMILY PRACTICE ASSOCIATES CONTACT CI Prof N N N N 37289 FARA CI Inst N N N N 37289 FARA BENEFIT SERVICES CI Prof N N N N 37289 FARA BENEFIT SERVICES, INC CI Inst N N N N 37289 FARA FA RICHARD ASSOCIATES CI Prof N N N N 14140 FARM FAMILY NY CI Prof N N N N J1687 FARMERS CIVIC PROPERTY AND CASUALTY COMPANY WC Prof N N N N J1687 FARMERS CIVIC PROPERTY AND CASUALTY COMPANY (AUTO ONLY) AM Prof N N N N J1703 FARMERS EXACT PROPERTY AND CASUALTY COMPANY WC Prof N N N N J1703 FARMERS EXACT PROPERTY AND CASUALTY COMPANY (AUTO ONLY) AM Prof N N N N J1706 FARMERS FIRE INSURANCE EXCHANGE WC Prof N N N N J1706 FARMERS FIRE INSURANCE EXCHANGE (AUTO ONLY) AM Prof N N N N J1710 FARMERS MID-CENTURY INSURANCE COMPANY WC Prof N N N N J1710 FARMERS MID-CENTURY INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1701 FARMERS NEIGHBORHOOD SPIRIT PROPERTY AND CASUALTY COMPANY WC Prof N N N N J1701 FARMERS NEIGHBORHOOD SPIRIT PROPERTY & CASUALTY COMPANY (AUTO ONLY) AM Prof N N N N J1713 FARMERS TRUCK INSURANCE EXCHANGE WC Prof N N N N J1713 FARMERS TRUCK INSURANCE EXCHANGE (AUTO ONLY) AM Prof N N N N C1025 FARMERS INSURANCE (AUTO ONLY) AM Prof N N N N C1034 FARMERS INSURANCE COMMERCIAL (AUTO ONLY) AM Prof N N N N C1034 FARMERS INSURANCE EXCHANGE (AUTO ONLY) AM Prof N N N N J1563 FARMERS INSURANCE EXCHANGE (WC ONLY) WC Prof N N N N J1551 FARMLAND MUTUAL INS CO WC Prof N N N N 59069 FBMC CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 33033 FCE BENEFIT ADMINISTRATORS CI Prof N N N N 33033 FCE BENEFIT ADMINISTRATORS - INST CI Inst N N N N 71056 FED EX FREIGHT EAST, INC CI Dental N N N N 37300 FEDERATED BENEFITS CI Inst N N N N 37300 FEDERATED BENEFITS CI Prof N N N N J1297 FEDERATED CLAIMS SERVICE CORP WC Prof N N N N J1297 FEDERATED DEPARTMENT STORES, INC WC Prof N N N N 37300 FEDERATED HR SERVICES CI Inst N N N N 37300 FEDERATED HR SERVICES FACS GROUP CI Prof N N N N 41556 FEDERATED LINEN AND UNIFORM WC Prof N N N N 41041 FEDERATED MUTUAL HEALTH INSURANCE COMPANY MN CI Prof N Y N N 41041 FEDERATED MUTUAL INSURANCE CI Inst N N N N 13935 FEDERATED MUTUAL INSURANCE COMPANY WC Prof N N N N 11118 FEDERATED RURAL ELECTRIC (TX) WC Prof N N N N 28304 FEDERATED SERVICES INSURANCE COMPANY WC Prof N N N N J1909 FFVA MUTUAL INSURANCE WC WC Prof N N N N 59321 FHHS - FLORIDA HOSPITAL HEALTHCARE SYSTEMS FL CI Prof N N N N 11315 FIDELIS CARE NEW YORK NY CI Prof N Y N Y CX014 FIDELIS CARE NEW YORK DENTAL CI Dental N N N N 11315 FIDELIS CARE NEW YORK INST NY CI Inst N N N Y 77054 FIDELIS SECURECARE SENIOR CARE CI Prof N Y N N 77054 FIDELIS SECURECARE - INST CI Inst N N N N FBI99 FIDELITY BENEFIT ADMINISTRATORS CI Prof N N N N 21873 FIREMAN'S FUND INSURANCE COMPANY WC Prof N N N N J1274 FIREMEN'S INSURANCE COMPANY WC Prof N N N N 88055 FIRST AGENCY CI Prof N N N N FSTAG FIRST AGENCY INST CI Inst N N N N 56196 FIRST CAROLINA CARE NC CI Prof N N N N 56196 FIRST CAROLINA CARE - INST CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 14163 FIRST CHOICE (CT) CI Prof N N N N
14163 FIRST CHOICE (CT) WELLCARE - INST CI Inst N N N N 91131 FIRST CHOICE HEALTH NETWORK (FCHN) CI Prof N N N N 91131 FIRST CHOICE HEALTH NETWORK (FCHN) - INST CI Inst N N N N FCMG1 FIRST CHOICE MEDICAL GROUP CA CI Prof N N N N 75138 FIRST CHOICE OF MIDWEST (PPO) CI Inst N N N N 75138 FIRST CHOICE OF MIDWEST (PPO) CI Prof N N N N 77009 FIRST CHOICE VIP CARE PLUS SOUTH CAROLINA SC CI Prof N N N Y 37510 FIRST CHOICE VIP CARE SOUTH CAROLINA SC CI Prof N Y N N TLU63 FIRST DENTAL HEALTH (FDH) CI Dental N N N N 73159 FIRST HEALTH NETWORK - COVENTRY - INST CI Inst N N N N 73159 FIRST HEALTH NETWORK FKA PPO OKLAHOMA CI Prof N N N N 66053 FIRST MEDICAL (IMC) PR PR CI Prof N Y N N PR053 FIRST MEDICAL GHP PR CI Prof N N N N 22324 FIRST OPTION HEALTH PLAN CI Prof N N N N FP660 FIRST PLUS PR CI Prof N N N N 23241 FIRST PRIORITY HEALTH - FPLIC CI Prof N N N Y 59276 FIRST SERVICE ADMINISTRATORS INC CI Prof N N N N 63080 FIRST STATE HEALTH PLAN CI Prof N N N N 94999 FIRSTCARE CI Prof N Y N Y 94999 FIRSTCARE INST CI Inst N N N N 94998 FIRSTCARE STAR MEDICAID TX CI Prof N Y N Y 94998 FIRSTCARE STAR MEDICAID INST TX CI Inst N N N N J1011 FIRSTCOMP WC Prof N N N N CX014 FIRSTGUARD HEALTH PLAN CI Dental N N N N 90060 FIRSTGUARD HEALTH PLAN KANSAS KS CI Prof N N N N 90061 FIRSTGUARD HEALTH PLAN MISSOURI MO CI Prof N N N N 11244 FITZHARRIS COMPANY (FARMINGTON, NY) CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 11244 FITZHARRIS COMPANY, INC (FARMINGDALE, NY) CI Prof N N N N J1047 FKI INDUSTRIES, INC WC Prof N N N N 60054 FLEXCARE CI Dental N N N N 60054 FLEXCARE CI Prof N N N N 59276 FLORIDA 1ST FL CI Prof N N N N 59276 FLORIDA 1ST - INST CI Inst N N N N J1910 FLORIDA FRUIT AND VEGETABLE ASSN WC WC Prof N N N N 59322 FLORIDA HEALTH CARE PLANS (FHCP) FL CI Prof N Y N Y 12611 FLORIDA HEALTH CARE PLUS (FHP) FL CI Prof N N N N 59321 FLORIDA HOSPITAL HEALTHCARE SERVICES FL CI Prof N Y N N 48116 FLORIDA HOSPITAL WATERMAN CI Inst N N N N 48116 FLORIDA HOSPITAL WATERMAN EMPLOYEE BENEFIT PLAN FL CI Prof N N N N 95411 FLORIDA PHC (MCO) AND PHP (MEDICARE) FL CI Prof N N N N 68241 FLORIDA POWER CI Inst N N N N 60054 FLORIDA POWER LIGHT PRUDENTIAL FL CI Prof N N N Y 26492 FLORIDA TRUE HEALTH FL CI Prof N Y N N 26492 FLORIDA TRUE HEALTH - INST FL CI Inst N N N N 48117 FMH BENEFIT SERVICES (CORESOURCE) CI Prof N Y N Y 48117 FMH BENEFIT SERVICES (CORESOURCE) - INST CI Inst N N N Y 37305 FORD METER BOX COMPANY CI Prof N N N N 11185 FOREMOST (AUTO ONLY) AM Prof N N N N J1529 FORGE INDUSTRIAL STAFFING WC Prof N N N N 39065 FORTIS CI Prof N N N N 39065 FORTIS BENEFITS CI Prof N N N N 70408 FORTIS BENEFITS INSURANCE COMPANY CI Dental N N N N 70408 FORTIS BENEFITS INSURANCE COMPANY CI Inst N N N N 39065 FORTIS INSURANCE COMPANY (FORMERLY TIME INSURANCE) CI Dental N N N N 39065 FORTIS WESTERN CI Prof N N N N TKFMC FOUNDATION FOR MEDICAL CARE OF TULARE AND KINGS COUNTY CA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status FH001 FOUNDATION HEALTH CA CI Prof N N N N FH002 FOUNDATION HEALTH HMO CA CI Prof N N N N FH002 FOUNDATION HEALTH AMERIMED HMO CA CI Prof N N N N FH002 FOUNDATION HEALTH AMERIMED SENIOR HMO CA CI Prof N N N N 64069 FOX EVERETT INGALLS SHIP BUILDING CI Prof N N N N FVMCH FOX VALLEY MEDICINE SITE 199 CI Prof N N N N FVMC1 FOX VALLEY MEDICINE SITE 451 CI Prof N N N N 64069 FOX-EVERETT INC CI Prof N N N N 64069 FOX-EVERETT, INC CI Inst N N N N 64067 FOXEVERETT INGALLS SHIP BLDG CI Inst N N N N 41556 FRANCO CONSTRUCTION WC Prof N N N N J1440 FRANKENMUTH MUTUAL WC Prof N N N N 71768 FREEDOM BLUE MEDICARE WV - INST THRU DOS 12-31-2014 WV CI Inst N N N N 71768 FREEDOM BLUE MEDICARE WV THRU DOS 12-31-2014 WV CI Prof N Y Y Y 41212 FREEDOM HEALTH PLAN FL CI Prof N N N Y 41212 FREEDOM HEALTH PLAN - INST CI Inst N N N N 62324 FREEDOM LIFE INSURANCE CO CI Prof N N N N 62324 FREEDOM LIFE INSURANCE COMPANY OF AMERICA CI Inst N N N N 23130 FRESENIUS MEDICAL CARE CI Prof N N N N 41556 FRESNO COUNTY OFFICE OF EDUCATION WC Prof N N N N 41556 FRESNO COUNTY SELF INSURANCE GROUP WC Prof N N N N 59204 FRINGE BENEFIT COORDINATORS FL CI Prof N N N N 34171 FRONTPATH CI Prof N N N N J1633 FULLERTON UNION HIGH SCHOOL DISTRICT (CA) WC Prof N N N N J1633 FULLERTON UNION HIGH SCHOOL DISTRICT (CA) (AUTO ONLY) AM Prof N N N N TP117 GAB ROBBINS, INC WC Prof N N N N TP057 GALLAGHER BASSETT WC Prof N N N N 30005 GALVESTON COUNTY INDIGENT HEALTH CI Prof N N N N 30005 GALVESTON COUNTY INDIGENT HEALTH - INST CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1519 GARDEN GROVE UNIFIED SCHOOL DISTRICT WC Prof N N N N 41556 GARDEN REGIONAL HOSPITAL AND MED CENTER, INC WC Prof N N N N GARET GARRETSON RESOLUTION GROUP CI Prof N N N N J1302 GATEGOURMET 836 WC Prof N N N N J1302 GATEGOURMET 836 (AUTO ONLY) AM Prof N N N N J1066 GATES CORP DBA GATES RUBBER CO WC Prof N N N N 41556 GATES ODOHERTY WC Prof N N N N 41556 GATES ODOHERTY G AND G WC Prof N N N N 25169 GATEWAY HEALTH PLAN - MEDICAID PA PA CI Prof N Y N Y 25169 GATEWAY HEALTH PLAN - MEDICAID PA INST PA CI Inst N N N N 60550 GATEWAY HEALTH PLAN - MEDICARE ASSURED CI Prof N Y N Y 60550 GATEWAY HEALTH PLAN - MEDICARE ASSURED INST CI Inst N N N N 91741 GATEWAY HEALTH PLAN - OH MEDICARE ASSURED OH CI Prof N N Y Y 5506 GATEWAY HEALTHY (PLUS) PA PA CI Prof N N N Y 43175 GATEWAY TO BETTER HEALTH PLAN - ENCOUNTERS MO CI Prof N N N N 4317M GATEWAY TO BETTER HEALTH PLAN - FFS MO CI Prof N N N N 41556 GATEWAY TRANS INC WC Prof N N N N J1557 GE AUTO WC Prof N N N N J1557 GE AUTO (AUTO ONLY) AM Prof N N N N 67815 GE GROUP LIFE ASSURANCE COMPANY CI Prof N N N N 67815 GE GROUP LIFE ASSURANCE COMPANY CI Inst N N N N 44054 GEHA CI Prof N N N Y 57254 GEHA - GOVERNMENT EMPLOYEES HOSP ASSN CI Prof N N N N 44054 GEHA - GOVERNMENT EMPLOYEES HOSP ASSN INST CI Inst N N N Y 45275 GEHA - PHCS NETWORK DOS THRU 12-31-2015 CI Prof N N N N 44054 GEHA DENTAL CI Dental N N N N GEHA9 GEHA HEALTH GROUP NEVADA NV CI Prof N N N N GEHA9 GEHA HEALTH GROUP NEVADA INST CI Inst N N N N 6603 GEHA-ASA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 6603 GEHA-ASA - INST CI Inst N N N N J1747 GEICO AM Prof N N N N 75273 GEISINGER HEALTH PLAN CI Prof N Y N Y 75273 GEISINGER HEALTH PLAN INST CI Inst N N N Y MCS03 GEMCARE HEALTH PLAN - KERN COUNTY EPO CA CI Prof N N N N J1678 GENERAL PARTS INTERNATIONAL WC Prof N N N N J1678 GENERAL PARTS INTERNATIONAL (AUTO ONLY) AM Prof N N N N GHEDI GENERATIONS HEALTHCARE HMO CI Prof N N N N 16112 GENESEE COUNTY MEDICAL PLAN CI Prof N N N N 41556 GENESIS CONSTRUCTION WC Prof N N N N IP087 GENESIS HEALTHCARE CA CI Prof N N N N J1895 GENEX CARE FOR OHIO WC Prof N N N N J1461 GEO WC Prof N N N N 52098 GEORGE WASHINGTON HP HSP CI Inst N N N N 1124 GEORGIA POWER CO CI Inst N N N N 23212 GETTYSBURG HEALTH CI Prof N N N N CX014 GHI - DORAL DENTAL CI Dental N N N N 13551 GHI GROUP HEALTH INC - INST NY CI Inst Y N N Y 13551 GHI GROUP HEALTH NEW YORK NY CI Prof Y Y N Y 25531 GHI HMO GROUP HEALTH NY CI Prof Y Y N Y 13551 GHI PPO NY CI Prof Y Y N Y 25141 GHP (GROUP HEALTH PLAN) CI Inst N Y N Y 58204 GI INNOVATIVE MANAGEMENT CI Prof N N N N J1927 GILLETTE CHILDRENS SPECIALTY HEALTHCARE WC WC Prof N N N N 7205 GILSBAR CI Prof N Y N Y 7205 GILSBAR - INST CI Inst N N N N 91136 GLASSWORKERS HEALTH WELFARE FUND CI Inst N N N N 91136 GLASSWORKERS HLTH WELFARE FUND CI Prof N N N N 41556 GLENDALE ELEMENTARY SCHOOL DISTRICT NO 40 WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 80241 GLOBAL BENEFIT SERVICES (GBS) CI Prof N N N N 80241 GLOBAL BENEFIT SERVICES (GBS) - INST CI Inst N N N N 7689 GLOBAL CARE CI Prof N N N Y 7689 GLOBAL CARE INST CI Inst N N N N MPM05 GLOBAL CARE IPA CA CI Prof N N N N GEM01 GLOBAL EXCEL MANAGEMENT CI Prof N N N N GHOKC GLOBAL HEALTH OK CI Prof N N Y N C1028 GMAC INSURANCE COMPANY ONLINE, INC AM Prof N N N N C1028 GMAC INSURANCE MANAGEMENT CORPORATION AM Prof N N N N 77160 GOLD COAST HEALTH PLAN CI Inst N N N N 77160 GOLD COAST HEALTH PLAN CI Prof N N N N J1067 GOLDEN CORRAL CORPORATION WC Prof N N N N J1430 GOLDEN EAGLE WC Prof N N N N 37602 GOLDEN RULE - UNITEDHEALTHONE CI Prof Y Y N Y 37602 GOLDEN RULE - UNITEDHEALTHONE - INST CI Inst N N N Y J1306 GOLDEN STATE SUPPLY WC Prof N N N N J1306 GOLDEN STATE SUPPLY (AUTO ONLY) AM Prof N N N N 72189 GOLDEN TRIANGLE PHYSICIAN ALLIANCE (GTPA) CI Prof N N N N J1647 GOOD SAMARITAN HOSPITAL (AUTO ONLY) AM Prof N N N N J1647 GOOD SAMARITAN HOSPITAL (WORK COMP) WC Prof N N N N IP086 GOOD SAMARITAN MEDICAL PRACTICE ASSOCIATION CA CI Prof N N N N 76923 GOOD SHEPHERD HOSPICE CI Prof N N N N J1462 GOODRICH WC Prof N N N N J1621 GOODWILL INDUSTRIES WC Prof N N N N J1621 GOODWILL INDUSTRIES (AUTO ONLY) AM Prof N N N N 44054 GOVERNMENT EMPLOYEES HOSP ASSN (GEHA) CI Prof N Y N Y 44054 GOVERNMENT EMPLOYEES HOSPITAL ASSOCIATION CI Prof N N N Y 48143 GPA - GROUP AND PENSION ADMINISTRATORS CI Prof N Y N N 58204 GRADY HEALTHCARE CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 95453 GRAND VALLEY HEALTH PLAN MI CI Prof N N N N 10322 GRANGE MUTUAL CASUALTY COMPANY AM Prof N N N N 14060 GRANGE WC WC Prof N N N N 37234 GRANT PHYSICIANS PRACTICE ASSOCIATION CI Inst N N N N 37234 GRANT PHYSICIANS PRACTICE ASSOCIATION CI Prof N N N N 25984 GRAPHIC ARTS MUTUAL WC Prof N N N N GCU99 GRAPHIC COMMUNICATIONS UNION LOCAL 8M 96B HEALTH WELFARE FUND CI Prof N N N N 26832 GREAT AMERICAN ALLIANCE INS CO WC Prof N N N N 26344 GREAT AMERICAN ASSURANCE CO WC Prof N N N N 16691 GREAT AMERICAN INS CO WC Prof N N N N 22136 GREAT AMERICAN INS CO OF NY WC Prof N N N N 13193 GREAT AMERICAN LIFE INS CI Prof N N N N 13193 GREAT AMERICAN LIFE INSURACE CO CI Inst N N N N J1308 GREAT CENTRAL WC Prof N N N N J1308 GREAT CENTRAL (AUTO ONLY) AM Prof N N N N 25224 GREAT DIVIDE INSURANCE WC Prof N N N N 80705 GREAT WEST HEALTHCARE CI Inst Y Y N Y 80705 GREAT WEST HEALTHCARE CI Prof Y N N Y 80705 GREAT WEST HEALTHCARE CI Prof Y Y N Y 80705 GREAT WEST LIFE CI Prof Y N N Y GCMG1 GREATER COVINA MEDICAL GROUP CA CI Prof N N N N GNOCH GREATER NEW ORLEANS COMMUNITY HEALTH CONNECTION (GNOCHC) LA MC Prof N N Y Y GNPMG GREATER NEWPORT PHYSICIANS CA CI Prof N N N N NMM01 GREATER ORANGE COUNTY MEDICAL GROUP CA CI Prof N N N N 95379 GREATWEST HEALTHCARE CA CA CI Prof N N N Y 66893 GREATWEST HEALTHCARE FKA NEW ENGLAND FINANCIAL CI Prof N N N Y 95569 GREATWEST HEALTHCARE GA GA CI Prof N N N Y J1642 GREEN DIAMOND WA WC Prof N N N N J1642 GREEN DIAMOND WA (AUTO ONLY) AM Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41556 GREENE RAD MALONEY WC Prof N N N N 78521 GREENTREE ADMINISTRATORS CI Prof N N N N 41556 GREER CONSTRUCTON CO WC Prof N N N N 41556 GREIF BROTHERS CORPORATION WC Prof N N N N 41556 GREVE CLIFFORD WENGEL AND PARAS WC Prof N N N N 41556 GRIMMWAY ENTERPRISES INC WC Prof N N N N J1571 GRINNELL REINSURANCE COMPANY WC Prof N N N N J1571 GRINNELL REINSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1541 GRINNELL SELECT WC Prof N N N N J1541 GRINNELL SELECT (AUTO ONLY) AM Prof N N N N GASA1 GROUP ADMIN SELFFUNDED ALTERNATIVE CI Prof N N N N 36338 GROUP ADMINISTRATORS LTD CI Inst N N N N 36338 GROUP ADMINISTRATORS LTD CI Prof N N N N 48143 GROUP AND PENSION ADMINISTRATORS CI Prof N N N N 48143 GROUP AND PENSION ADMINISTRATORS - INST CI Inst N N N N 72153 GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE, CI Inst N N N N 72153 GROUP BENEFIT ADMINISTRATORS (HENDERSONVILLE, TN) CI Prof N N N N 38223 GROUP BENEFIT SVCS MI HOS CI Inst N N N N 72087 GROUP BENEFITS LOUISIANA LA BL Prof N N N N GE001 GROUP HEALTH MO CI Prof N N N N 39167 GROUP HEALTH COOP - SO CENTRAL WISCONSIN WI CI Prof N N N N 39168 GROUP HEALTH COOP - SO CENTRAL WISCONSIN (ENCOUNTERS) CI Prof N N N N 39168 GROUP HEALTH COOP - SO CENTRAL WISCONSIN (ENCOUNTERS) CI Inst N N N N 39167 GROUP HEALTH COOP - SO CENTRAL WISCONSIN - INST CI Inst N N N N 91121 GROUP HEALTH COOPERATIVE - EAST CI Inst N N N N 95192 GROUP HEALTH COOPERATIVE OF EAU CLAIRE CI Prof N N N N 95192 GROUP HEALTH COOPERATIVE OF EAU CLAIRE DENTAL CI Dental N N N N 91051 GROUP HEALTH COOPERATIVE PACIFIC NORTHWEST WA CI Prof N Y N Y 91051 GROUP HEALTH COOPERATIVE PACIFIC NORTHWEST - INST WA CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 13551 GROUP HEALTH INSURANCE - GHI DENTAL CI Dental N N N Y 91121 GROUP HEALTH NORTHWEST CI Prof N N N N 91051 GROUP HEALTH OPTIONS (WA) WA CI Prof N N N Y 91051 GROUP HEALTH OPTIONS (WA) - INST WA CI Inst N N N Y 37276 GROUP INSURANCE SERVICE CENTER CI Prof N N N N 28680 GROUP RESOURCES PPO (PHCS) CI Prof N N N N CX015 GROUPLINK - INDIANA CI Dental N N N N 41556 GRUNDFOS MANUFACTURING CORPORATION WC Prof N N N N 41556 GS METALS WC Prof N N N N J1068 GSE LINING TECHNOLOGY, INC WC Prof N N N N J1453 GUARD WC Prof N N N N 64246 GUARDIAN LIFE INSURANCE CO AMERICA CI Prof N N N N 64246 GUARDIAN LIFE INSURANCE CO AMERICA - INST CI Inst N N N N 64246 GUARDIAN LIFE INSURANCE COMPANY DENTAL CI Dental N Y N N J1590 GUIDEONE ELITE INSURANCE WC Prof N N N N J1590 GUIDEONE ELITE INSURANCE (AUTO ONLY) AM Prof N N N N J1574 GUIDEONE MUTUAL INSURANCE WC Prof N N N N J1574 GUIDEONE MUTUAL INSURANCE (AUTO ONLY) AM Prof N N N N RENBL GULF QUEST IPA - HMO BLUE CI Prof N N N N CB624 GULF STREAM GENERAL DYNAMICS CI Prof N N N N RENGQ GULFQUEST RENAISSANCE - HOUSTON TX CI Prof N N N N CB624 GULFSTREAM (CORESOURCE) CI Prof N N N N 39180 GUNDERSEN LUTHERAN HEALTH PLAN CI Prof N N N N 39180 GUNDERSEN LUTHERAN HEALTH PLAN - INST CI Inst N N N N J1672 H AND R BLOCK WC Prof N N N N J1672 H AND R BLOCK (AUTO ONLY) AM Prof N N N N 65101 HAA PREFERRED PARTNERS CI Prof N N N N 65101 HAA PREFERRED PARTNERS - INST CI Inst N N N N C1029 HAMILTON MUTUAL - AUTO AM Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 21415 HAMILTON MUTUAL - WC WC Prof N N N N J1463 HANNAFORD WC Prof N N N N J1693 HANOVER INSURANCE COMPANY WC Prof N N N N J1693 HANOVER INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1588 HANOVER LLOYD'S INSURANCE COMPANY WC Prof N N N N J1588 HANOVER LLOYD'S INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 58305 HARBOR MEDICARE ADVANTAGE CI Prof N N N N 58305 HARBOR MEDICARE ADVANTAGE - INST CI Inst N N N N 43313 HARKEN HEALTH (UHC) CI Prof N Y N N 43313 HARKEN HEALTH (UHC) - INST CI Inst N N N N J1595 HARLEYSVILLE INSURANCE COMPANY WC Prof N N N N J1595 HARLEYSVILLE INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 36406 HARMONY HEALTH PLAN OF ILLINOIS IL CI Inst N N N Y 36406 HARMONY HEALTH PLAN OF ILLINOIS IL CI Prof N Y N Y 36405 HARMONY HEALTH PLAN OF INDIANA IN CI Inst N N N Y 75126 HARPETH IPA - AMERIVANTAGE (SRRIPA) CI Prof N N N N 59143 HARRINGTON HEALTH NON EPO CI Prof N N N N 59143 HARRINGTON HEALTH NON EPO - INST CI Inst N N N N 75201 HARRIS METHODIST HEALTH PLAN CI Inst N N N N 75202 HARRIS METHODIST HEALTH PLAN CI Inst N N N N C1046 HARTFORD ACCIDENT AND INDEMNITY COMPANY (AUTO ONLY) AM Prof N N N N C1041 HARTFORD CASUALTY INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 41556 HARTFORD DEALERSHIP ADVANTAGE PROGRAM - WC WC Prof N N N N C1040 HARTFORD FIRE INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N C1040 HARTFORD INS CO OF ILLINOIS (AUTO ONLY) AM Prof N N N N C1040 HARTFORD INS CO OF THE SOUTHEAST AM Prof N N N N C1043 HARTFORD INSURANCE COMPANY OF THE MIDWEST (AUTO ONLY) AM Prof N N N N C1044 HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N C1047 HARTFORD LIFE AND ANNUITY INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status C1045 HARTFORD LIFE INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N C1042 HARTFORD UNDERWRITERS INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 4271 HARVARD COMMUNITY HEALTH PLAN CI Inst N N N N 4271 HARVARD PILGRIM HEALTH CARE CI Prof N Y N Y 4271 HARVARD PILGRIM HEALTH CARE - INST CI Inst N N N N 4245 HARVARD PILGRIM HEALTH PLAN STRIDE CI Prof N N N N 41556 HASTINGS COLLEGE OF THE LAW WC Prof N N N N 48330 HAWAII MEDICAL ASSURANCE ASSN (HMAA HWMG) HI CI Prof N Y N Y TFQ61 HAWAII MEDICAL ASSURANCE ASSOCIATION (HMAA) CI Dental N N N N TPC08 HAWAII-WESTERN MANAGEMENT GROUP (HWMG) CI Dental N N N N J1426 HAWKEYE WC Prof N N N N 86068 HAWKI IA CI Prof N N N N 41556 HAYHOE CONSTRUCTION WC Prof N N N N J1450 HCA-HOSPTIAL CORPORATION OF AMERICA WC Prof N N N N HCCMI HCC LIFE INSURANCE CO CI Prof N N N N HCCMI HCC LIFE INSURANCE CO - INST CI Inst N N N N 37329 HCH ADMINISTRATION ALBQ SELF FUNDED CI Prof N N N N 37329 HCH ADMINISTRATION ALBQ-SELF FUNDED CI Inst N N N N 37111 HCH ADMINISTRATION (ILLINOIS) CI Inst N N N N 37111 HCH ADMINISTRATION (ILLINOIS) CI Prof N N N N 82018 HCS HEALTH CLAIMS SERVICE (BOISE, ID) CI Inst N N N N 82018 HCS HEALTH CLAIMS SERVICES CI Prof N N N N HDMCO HDM BENEFIT SOLUTIONS CI Inst N N N N HDMCO HDM BENEFIT SOLUTIONS CI Prof N N N N 77950 HEALTH ALLIANCE MEDICAL PLAN (IL) IL CI Prof N Y N N 77950 HEALTH ALLIANCE MEDICAL PLAN - INST CI Inst N N N N 38224 HEALTH ALLIANCE PLAN OF MICHIGAN (HAP) MI CI Prof N Y N Y 38224 HEALTH ALLIANCE PLAN OF MICHIGAN INST MI CI Inst N N N Y 25126 HEALTH AMERICA CI Prof N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status BOONG HEALTH AND WELFARE BENEFIT SYSTEMS (HWBS) CI Prof N N N N 25126 HEALTH ASSURANCE HEALTH AMERICA CI Prof N Y N Y 25126 HEALTH ASSURANCE HEALTH AMERICA ADVANTRA CI Inst N N N Y TLX24 HEALTH BENEFIT CLAIMS DEPT CI Dental N N N N 68241 HEALTH CARE ALLIAN CI Inst N N N N 60054 HEALTH CARE ALLIANCE SEARS CI Prof N N N Y HCDPB HEALTH CARE DISTRICT PALM BEACH COUNTY CI Prof N N Y N 42102 HEALTH CARE NETWORK OF WISCONSIN (HCN) CI Inst N N N N 34193 HEALTH CARE PAYERS HCPC HOS CI Inst N N N N 34193 HEALTH CARE PAYERS COALITION OH CI Prof N N N N 88028 HEALTH CARE RESOURCES INC CI Prof N N N N 56142 HEALTH CARE SAVINGS CI Prof N N N N 56142 HEALTH CARE SAVINGS, INC CI Inst N N N N 62180 HEALTH CHOICE GENERATIONS CI Prof N N N Y 46221 HEALTH CHOICE INSURANCE CO CI Prof N Y N N 62179 HEALTH CHOICE OF ARIZONA AZ CI Prof N Y N Y 62179 HEALTH CHOICE OF ARIZONA INST AZ MC Inst N N N N 45399 HEALTH CHOICE OF UTAH UT CI Prof N N N N 22521 HEALTH CHOICE OKLAHOMA (EGID) OK CI Prof N Y N N 22521 HEALTH CHOICE OKLAHOMA (EGID) - INST OK CI Inst N N N N 62111 HEALTH COST SOLUTIONS (HCS) TN CI Prof N Y N Y 34158 HEALTH DESIGN PLUS CI Prof N N N N 34158 HEALTH DESIGN PLUS - INST CI Inst N N N N 16112 HEALTH ECONOMICS GROUP, INC CI Dental N N N N 16112 HEALTH ECONOMICS GROUP, INC CI Prof N N N N 95019 HEALTH FIRST HEALTH PLAN CI Prof N Y N N 95019 HEALTH FIRST HEALTH PLAN - INST CI Inst N N N N 30946 HEALTH FUTURE CI Inst N N N N 30946 HEALTH FUTURE CI Prof N Y N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 59087 HEALTH HELP NETWORK INC CI Prof N N N N 95570 HEALTH NET CALIFORNIA (ENCOUNTER) CA CI Prof N N Y N 95568 HEALTH NET CALIFORNIA INST (ENCOUNTER) CA CI Inst N N Y N 38309 HEALTH NET OF ARIZONA AZ CI Prof N Y N Y 38309 HEALTH NET OF ARIZONA - INST AZ CI Inst N N N Y 95567 HEALTH NET OF CALIFORNIA AND OREGON CI Prof N Y N Y 95567 HEALTH NET OF CALIFORNIA AND OREGON - INST CI Inst N N N Y SX185 HEALTH NET PEARL CI Prof N N N N 20199 HEALTH NETWORK AMERICA CI Prof N N N N 65062 HEALTH NETWORK ONE (HN1) CI Prof N N N N PHD05 HEALTH NETWORKS OF COLORADO SPRINGS CO CI Prof N N N N 4286 HEALTH NEW ENGLAND CI Prof N Y N Y 4286 HEALTH NEW ENGLAND INST CI Inst N N N Y 58216 HEALTH ONE ALLIANCE PPO HOS CI Inst N N N N 31478 HEALTH PARTNERS OF KANSAS (HPK) KS CI Prof N N N N 80142 HEALTH PARTNERS OF PHILADELPHIA PA CI Prof N Y N Y 62157 HEALTH PARTNERS TN TN CI Prof N N N N 62157 HEALTH PARTNERS TN - INST TN CI Inst N N N N 80142 HEALTH PARTNERS, PA CI Inst N N N N CX014 HEALTH PARTNERS, PHILADELPHIA CI Dental N N N N 20270 HEALTH PAYMENT SYSTEMS INC CI Prof N N N N 63719 HEALTH PLAN MANAGEMENT SERVICES CI Prof N N N N 76342 HEALTH PLAN NEVADA NV CI Prof N Y N N 83253 HEALTH PLAN OF MICHIGAN - MERIDIAN MI CI Prof N N N N 83253 HEALTH PLAN OF MICHIGAN - MERIDIAN - INST MI CI Inst N N N N 68035 HEALTH PLAN OF SAN JOAQUIN CI Prof N Y N Y HPSM1 HEALTH PLAN OF SAN MATEO (HPSM) CI Prof N Y N N HPSM1 HEALTH PLAN OF SAN MATEO (HPSM) - INST CI Inst N N N N 94254 HEALTH PLAN OF THE REDWOODS CA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status HPUOV HEALTH PLAN OF UPPER OHIO VALLEY CI Prof N Y N Y HPUOV HEALTH PLAN OF UPPER OHIO VALLEY - INST CI Inst N N N Y 59256 HEALTH PLAN SE TALLAHASSEE FL CI Inst N N N N 44273 HEALTH PLANS INC CI Inst N N N N 44273 HEALTH PLANS, INC CI Prof N N N Y 28804 HEALTH PLUS PHSP (AMERIGROUP) NY CI Prof Y Y N Y 63363 HEALTH PLUS PHYSICIANS ORGANIZATION (HPPO) CI Prof N N N N 23342 HEALTH REPUBLIC - NEW JERSEY COOP (QUALCARE NETWORK) NJ CI Prof N Y N N HSNMA HEALTH SAFETY NET (HSN) MASS - INST MA CI Inst N N Y Y HSNMA HEALTH SAFETY NET (HSN) MASSACHUSETTS MA CI Prof N N Y Y 20896 HEALTH SERVICES CONSULTING GROUP (HSCG) CI Prof N N N N 20896 HEALTH SERVICES CONSULTING GROUP (HSCG) - INST CI Inst N N N N 37290 HEALTH SERVICES FOR CHILDREN (HSCSN) CI Inst N N N N 37290 HEALTH SERVICES FOR CHILDREN (HSCSN) CI Prof N Y N N HSM01 HEALTH SERVICES MANAGEMENT (HSM) CI Prof N N N N 16105 HEALTH SERVICES MEDICAL GROUP CI Prof N N N N 34167 HEALTH SERVICES PREFERRED (HSP) BY EMERALD CI Inst N N N N OBAVG HEALTH SERVICES PURCHASING COALITION CI Prof N N N N 36332 HEALTH STAR CI Prof N N N N HTHTX HEALTH TEXAS MEDICAL GROUP TX CI Prof N N N N 41154 HEALTH TRADITION HEALTH PLAN (MMSI) WI CI Prof N N N N 61101 HEALTH VALUE MANAGEMENT CI Prof Y N N N MPM06 HEALTHCARE LA IPA CA CI Prof N N N N HCP02 HEALTHCARE PARTNERS AZ HCP02 AZ CI Prof N N N N HCP02 HEALTHCARE PARTNERS AZ HCP02 - INST AZ CI Inst N N N N HCP01 HEALTHCARE PARTNERS CALIFORNIA (HCP01) CA CI Prof N N N Y 11328 HEALTHCARE PARTNERS IPA NY CI Inst N N N N 11328 HEALTHCARE PARTNERS IPA NY NY CI Prof N N N N 20501 HEALTHCARE PARTNERS OF NEVADA NV CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 90001 HEALTHCARE PLAN PPO CI Prof N N N N 82468 HEALTHCARE RESOURCE GROUP CI Prof N N N N 82468 HEALTHCARE RESOURCES GROUP (HRG) CI Inst N N N N 73147 HEALTHCARE SOLUTIONS GROUP CI Prof N Y N Y 25143 HEALTHCARE USA CI Inst N N N Y CX014 HEALTHCARE, USA - ST LOUIS CI Dental N N N N 36335 HEALTHCARES FINEST NETWORK (HFN) CI Prof N N N N 36335 HEALTHCARES FINEST NETWORK (HFN) - INST CI Inst N N N N HCOMP HEALTHCOMP CI Prof N Y N N 85729 HEALTHCOMP (CA) DENTAL CI Dental N N N N HCOMP HEALTHCOMP - INST CI Inst N N N N 85729 HEALTHCOMP INC CI Prof N N N N 14163 HEALTHEASE - WELLCARE FL CI Prof N N N Y 14163 HEALTHEASE - WELLCARE - INST CI Inst N N N Y 95213 HEALTHEDGE ADMINISTRATORS CI Prof N N N N 41178 HEALTHEZ CI Prof N Y N N 41178 HEALTHEZ CI Inst N N N N CX014 HEALTHFIRST CI Dental N N N N 80141 HEALTHFIRST INC INST NY CI Inst N N N N 80141 HEALTHFIRST NEW JERSEY NJ CI Prof N Y N Y 80141 HEALTHFIRST NEW YORK NY CI Prof N Y N Y 75289 HEALTHFIRST TPA - AUSTIN TX CI Prof N N N N 75289 HEALTHFIRST TPA - AUSTIN - INST TX CI Inst N N N N 34185 HEALTHFIRST TPA - HOUSTON TX CI Prof N N N N 34185 HEALTHFIRST TPA - HOUSTON - INST TX CI Inst N N N N 75234 HEALTHFIRST TPA - TYLER TX TX CI Prof N N N N 75234 HEALTHFIRST TPA - TYLER TX - INST TX CI Inst N N N N 56144 HEALTHGRAM INC CI Prof N Y N Y 56144 HEALTHGRAM INC - INST CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 23274 HEALTHGROUP LIMITED CI Prof N N N N 23226 HEALTHGUARD CI Inst N N N N 23226 HEALTHGUARD OF LANCASTER CI Prof N N N N 59087 HEALTHHELP NETWORK, INC (HHNI) CI Inst N N N N 96475 HEALTHLINK HMO CI Prof N N N Y 96475 HEALTHLINK HMO - INST CI Inst N N N N 90001 HEALTHLINK PPO CI Prof N N N N 90001 HEALTHLINK PPO - INST CI Inst N N N N CX014 HEALTHNET - DORAL DENTAL CI Dental N N N N 52133 HEALTHNET OF OREGON CI Dental N N N N 55204 HEALTHNOW NEW YORK NY CI Prof N Y Y Y 55204 HEALTHNOW NY NY CI Dental N N Y N 44547 HEALTHPARTNERS WC Prof N N N N HPAMN HEALTHPARTNERS MN MN CI Prof N Y Y Y HPAMN HEALTHPARTNERS MN INST MN CI Inst N N Y Y 7003 HEALTHPARTNERS MNCOOPORTUNITY HEALTH CI Prof N N N N 59140 HEALTHPLAN SERVICES CI Prof N N N N 59140 HEALTHPLAN SERVICES INST CI Inst N N N N 59256 HEALTHPLAN SOUTHEAST HPSE FL CI Prof N N N N 11271 HEALTHPLEX, INC CI Dental N N N N TLZ11 HEALTHPLEX, INC - CHILD HEALTH PLUS (CHP) FAMILY HEALTH PLUS (PHP) CLAIMS ONLY CI Dental N N N N 95009 HEALTHPLUS OF LOUISIANA LA CI Prof N N N N 38216 HEALTHPLUS OF MICHIGAN MI CI Prof N Y Y Y 38216 HEALTHPLUS OF MICHIGAN - INST MI CI Inst N N N N 68195 HEALTHPOINT CORP CI Prof N N N N 31106 HEALTHPOWER HMO CI Prof N N N N 6142 HEALTHRIGHT INC CI Inst N N N N 71063 HEALTHSCOPE BENEFITS CI Prof N Y N Y 71063 HEALTHSCOPE BENEFITS - INST CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1481 HEALTHSMART WC Prof N N N N 75237 HEALTHSMART ACCEL CI Prof N N N N 37272 HEALTHSMART BENEFIT SOLUTIONS (FKA J SMITH LANIER) CI Prof N N N Y 37272 HEALTHSMART BENEFIT SOLUTIONS (FKA J SMITH LANIER) INST CI Inst N N N Y 37283 HEALTHSMART BENEFIT SOLUTIONS (HSBS) CI Prof N N N N 37283 HEALTHSMART BENEFIT SOLUTIONS (HSBS) - INST CI Inst N N N N 87815 HEALTHSMART BENEFIT SOLUTIONS FKA WELLS FARGO TPA CI Prof N Y N Y 87815 HEALTHSMART BENEFIT SOLUTIONS FKA WELLS FARGO TPA - INST CI Inst N N N N HSPC1 HEALTHSMART PREFERRED CARE CI Prof N N N N 75250 HEALTHSMART PREFERRED CARE INC CI Prof N N N N HSPC1 HEALTHSMART PREFERRED CARE INC CI Inst N N N N 62308 HEALTHSOURCE AR AR CI Prof Y Y N Y 62308 HEALTHSOURCE IN IN CI Prof Y Y N Y 62308 HEALTHSOURCE KY KY CI Prof Y Y N Y 62308 HEALTHSOURCE MA MA CI Prof Y Y N Y 62308 HEALTHSOURCE ME ME CI Prof Y N N Y 62308 HEALTHSOURCE N TX TX CI Prof Y Y N Y 62308 HEALTHSOURCE NC NC CI Prof Y Y N Y 62308 HEALTHSOURCE NH NH CI Prof Y Y N Y 62308 HEALTHSOURCE OH OH CI Prof Y Y N Y 62308 HEALTHSOURCE SC SC CI Prof Y Y N Y 62308 HEALTHSOURCE TENNESSEE TN CI Prof Y N N Y 2041 HEALTHSOURCE CMHC CI Inst N N N N 62308 HEALTHSOURCE GA - INST CI Inst Y N N Y 62308 HEALTHSOURCE IN - INST CI Inst Y N N Y 62308 HEALTHSOURCE KY - INST CI Inst Y N N Y 2041 HEALTHSOURCE MASSACHUSETTS, INC CI Inst N N N N 16126 HEALTHSOURCE NEW YORK CI Inst N N N N 68195 HEALTHSOURCE PROVIDENT CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 62308 HEALTHSOURCE PROVIDENT ADMINISTRATORS CI Prof Y Y N Y 68195 HEALTHSOURCE PROVIDENT ADMINISTRATORS (CIGNA) CI Dental N N N N 62308 HEALTHSOURCE PROVIDENT INS CO CI Prof Y N N Y 71074 HEALTHSOURCE, AR CI Inst N N N N 71075 HEALTHSOURCE, AR (MED) (CIGNA) AR CI Prof N N N N 71075 HEALTHSOURCE, AR (MED) (CIGNA) - INST AR CI Inst N N N N 58210 HEALTHSOURCE, GA (CIGNA) CI Inst N N N N
35167 HEALTHSOURCE, IN CI Inst N N N N 61127 HEALTHSOURCE, KY CI Inst N N N N 1041 HEALTHSOURCE, ME CI Inst N N N N 75255 HEALTHSOURCE, N TX (CIGNA) CI Inst N N N N 56147 HEALTHSOURCE, NC (CIGNA) CI Inst N N N N 2038 HEALTHSOURCE, NH CI Inst N N N N 31141 HEALTHSOURCE, OH CI Inst N N N N 6119 HEALTHSOURCE, SC CI Inst N N N N 62129 HEALTHSOURCE, TN (CIGNA) CI Inst N N N N 34092 HEALTHSPAN CI Prof N N N N 34092 HEALTHSPAN - INST CI Inst N N N N 31434 HEALTHSPAN INC MARKETPLACE CI Prof N N N N RH007 HEALTHSPAN INTEGRATED (FKA KAISER OHIO) OH CI Prof N Y N N RH007 HEALTHSPAN INTEGRATED (FKA KAISER OHIO) - INST OH CI Inst N N N N HSPAN HEALTHSPAN NETWORK REPRICING CI Prof N N N N HSPAN HEALTHSPAN NETWORK REPRICING INST CI Inst N N N N 63092 HEALTHSPRING HMO MEDICARE CHOICE CI Prof N Y N Y 63092 HEALTHSPRING HMO MEDICARE CHOICE - INST CI Inst N N N N HT001 HEALTHSPRING TN TN CI Prof N Y N N 36332 HEALTHSTAR CI Prof N N N N 36332 HEALTHSTAR, INC CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status HESUN HEALTHSUN HEALTH PLAN CI Prof N N N N TLZ34 HEALTHY FAMILIES (CA) CI Dental N N N N 95827 HEALTHY PALM BEACHES CI Prof N N N N 68064 HEALTHY TEXAS TX CI Prof N N N N 77180 HEALTHYCT CO-OP CT CI Prof N N N N 77180 HEALTHYCT CO-OP INST CT CI Inst N N N N 41556 HEARTLAND EMPLOYMENT SERVICES, LLC WC Prof N N N N J1677 HEARTLAND EXPRESS WC Prof N N N N J1677 HEARTLAND EXPRESS (AUTO ONLY) AM Prof N N N N 62224 HEARUSA HLTC ENCOUNTER (62224) CI Prof N N N N HGL01 HEAVY GENERAL LABORERS - DENTAL CI Dental N N N N HGL99 HEAVY GENERAL LABORERS WELFARE FUND CI Prof N N N N 33600 HELMSMAN MANAGEMENT SERVICES WC Prof N N N N J1654 HEMET UNIFIED SCHOOL DISTRICT (CA) WC Prof N N N N J1654 HEMET UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY) AM Prof N N N N 37114 HEREIU WELFARE PENSION FUNDS CI Prof N N N N 37114 HEREIU WELFARE PENSION PLAN FUN CI Inst N N N N 37114 HEREIU WELFARE PENSION PLAN FUNDS CI Prof N N N N 59230 HERITAGE CONSULTANTS CI Prof N N N N J1069 HERITAGE GROUP WC Prof N N N N VVMG1 HERITAGE VICTOR VALLEY MEDICAL GROUP CA CI Prof N N N N IP125 HIGH DESERT MEDICAL GROUP CA CI Prof N N N N 41556 HIGHLAND GOLF WC Prof N N N N 91164 HIGHLINE MEDICAL SERVICE ORGANIZATION CI Prof N N N N 91164 HIGHLINE MEDICAL SERVICE ORGANIZATION INST CI Inst N N N N 5477C HIGHMARK BCBS PENN CENTRAL INST PA BL Inst N Y Y Y 5477W HIGHMARK BCBS PENN WESTERN INST PA BL Inst N Y Y Y 47181 HIGHMARK DE HEALTH OPTIONS DE CI Prof N N N Y 47181 HIGHMARK DE HEALTH OPTIONS INST DE CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 35145 HIGHMARK KEY FAMILY CI Prof N N N N 35145 HIGHMARK KEY FAMILY INST CI Inst N N N N 15460 HIGHMARK SENIOR HEALTH-PA MEDICARE AVANTAGE PA CI Prof N Y Y Y 15460 HIGHMARK SENIOR HEALTH-PA MEDICARE AVANTAGE - INST PA CI Inst N Y Y Y 15459 HIGHMARK SENIOR WV MEDICARE ADVANTAGE WV CI Prof N Y Y Y 15459 HIGHMARK SENIOR WV MEDICARE ADVANTAGE - INST WV CI Inst N N Y Y HIL01 HILL PHYSICIANS MEDICAL GROUP CA CI Prof N N Y N 59347 HILLCREST BENEFIT ADMINISTRATORS CI Inst N N N N 59347 HILLCREST BENEFIT ADMINISTRATORS CI Prof N N N N 37105 HINSDALE PHYSICIANS HEALTHCARE (SAGE) CI Prof N N N N 55247 HIP HEALTH INS PLAN OF GREATER NEW YORK NY CI Prof Y Y N Y 55247 HIP HEALTH INS PLAN OF GREATER NEW YORK - INST NY CI Inst Y N N Y HPIPA HISPANIC PHYSICIANS IPA - ENCOUNTERS CI Prof N N N N HPFFS HISPANIC PHYSICIANS IPA - FEE FOR SERVICE CI Prof N N N N HMA01 HMA HEALTHCARE MANAGEMENT ADMINISTRATORS CI Prof Y Y N Y HMA01 HMA HEALTHCARE MANAGEMENT ADMINISTRATORS - INST CI Inst N N N Y 86066 HMA INC - HAWAII CI Prof N Y N N 86066 HMA INC - HAWAII - INST CI Inst N N N N 75318 HMC HEALTHWORKS AKA HEALTH MANAGEMENT CO CI Prof N N N N HM033 HMO BLUE MEDICAID TX CI Prof N N N N 84980 HMO BLUE SHIELD TX CI Prof Y N N Y 53172 HMO BLUE STAR PLUS HOUSTON ONLY CONTACT MARK MESSER CI Prof N N N N 84980 HMO BLUE TEXAS TX BL Prof Y Y N Y HMOBR HMO BLUE TEXASARIA CI Prof N N N N 84555 HMO LOUISIANA (BLUE ADVANTAGE) LA CI Prof N Y N N 84555 HMO LOUISIANA (BLUE ADVANTAGE) - INST LA CI Inst N N N N COHMO HMO OF COLORADO CO CI Prof N N N N BS115 HMSA AKAMAI ADVANTAGE (MEDICARE) HI BL Prof N Y Y Y FE115 HMSA FEDERAL EMPLOYEE PLAN (FEP) HI CI Prof N Y Y Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status MC115 HMSA QUEST (MEDICAID) HI MC Prof N Y Y Y J1612 HMSHOST WC Prof N N N N J1612 HMSHOST (AUTO ONLY) AM Prof N N N N 41556 HOGAN MOTOR LEASING WC Prof N N N N 41556 HOGAN PERSONELL WC Prof N N N N J1070 HOLLY FARMS CORP WC Prof N N N N 68069 HOME STATE HEALTH PLAN MISSOURI MO CI Prof N Y N Y 68069 HOME STATE HEALTH PLAN MISSOURI INST MO CI Inst N N N N 41556 HOME SWEET HOME WC Prof N N N N 88023 HOMETOWN HEALTH PLAN NEVADA CI Prof N Y N Y 88023 HOMETOWN HEALTH PLAN NEVADA INST NV CI Inst N N N N CX015 HOOSIER DENTAL BENEFIT TRUST CI Dental N N N N CX015 HOOSIER DENTAL PLANS CI Dental N N N N 22099 HORIZON BCBS NEW JERSEY NJ BL Prof N Y Y Y 220SP HORIZON BCBS NEW JERSEY - SPECIALIST NJ BL Prof N Y Y Y 22099 HORIZON BLUE CROSS BLUE SHIELD NEW JERSEY INST NJ BL Inst N N Y Y 22326 HORIZON MERCY NEW JERSEY NJ CI Prof N N N N 22326 HORIZON NJ HEALTH NJ CI Prof N Y N Y 22326 HORIZON NJ HEALTH - INST NJ CI Inst N N N N HVMG1 HORIZON VALLEY MEDICAL GROUP CA CI Prof N N N N 13978 HORTICA FLORIST MUTUAL INSURANCE WC Prof N N N N 91136 HOTEL EMPLOYEES RESTAURANT EMPLOYEES CI Inst N N N N 91136 HOTEL EMPLOYEES RESTAURANT EMPLOYEES HLTH TRUST CI Prof N N N N J1071 HOUSEHOLD MERCH NNI WC Prof N N N N A0107 HOUSING AUTHORITY EL PASO (TX) WC Prof N N N N J1020 HOUSTON HUNTERS PATROL, INC WC Prof N N N N 22521 HP ADMINISTRATIVE SERVICES LLC OK CI Prof N N N N 94254 HPR CI Prof N N N N 58227 HPS PARADIGM CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 58277 HPS PARADIGM INC HOSPITAL CI Inst N N N N 58227 HPS PARADIGM, INC CI Inst N N N N 36410 HRH OF ILLINOIS CI Inst N N N N 31172 HSBS WORLD TRADE CENTER HEALTH PROGRAM CI Prof N N N N HSM01 HSM CI Prof N N N N 13335 HUDSON HEALTH PLAN NY CI Prof N Y N N J1072 HUGHES TOOL COMPANY WC Prof N N N N 61101 HUMANA CARE PLAN CI Prof Y Y N Y 73288 HUMANA DENTAL CI Dental N N N N 61101 HUMANA EMPHESYS CI Prof Y N N Y 61101 HUMANA EMPLOYERS HEALTH INST CI Inst Y N N Y 61101 HUMANA EMPLOYERS HEALTH INSURANCE CI Prof Y N N Y 61102 HUMANA ENCOUNTERS CI Prof N N N N 61101 HUMANA GOLD PLUS CI Prof Y N N Y 95348 HUMANA HEALTH PLANS OF OHIO OH CI Prof N N N N 61101 HUMANA INC CI Prof Y N N Y 61101 HUMANA INST CI Inst Y N N Y 61101 HUMANA INSURANCE CHOICE CARE NETWORK CI Prof Y N N Y 61125 HUMANA MILITARY - TRICARE SOUTH - PGBA CI Prof N Y Y Y 61125 HUMANA MILITARY - TRICARE REGIONS 3 AND 4 CI Inst N N N N PR000 HUMANA PUERTO RICO (INMEDIATA) PR CI Prof N N N N 61120 HUMANA VETERANS HEALTHCARE - ARCH PROJECT CI Prof N N N N IP059 HUMBOLDT (CALIF CARE) CA CI Prof N N N N 37260 HUNT INSURANCE GROUP CI Inst N N N N 37260 HUNT INSURANCE GROUP CI Prof N N N N J1626 HUTCHINSON TECHNOLOGY WC Prof N N N N J1626 HUTCHINSON TECHNOLOGY (AUTO ONLY) AM Prof N N N N J1118 HY-VEE WC Prof N N N N 37279 IAA CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status IAT99 IATSE ATLANTA HEALTH WELFARE FUND CI Prof N N N N 54704 IBC - INDEPEN BLUE CROSS PERSONAL CHOICE PA BL Prof N Y Y Y 89070 IBC - INDEPEN BLUE CROSS PERSONAL CHOICE - DENTAL CI Dental N N N N 54704 IBC - INDEPEN BLUE CROSS PERSONAL CHOICE - INST PA CI Inst N N Y Y A1117 IBEW LOCAL 117 CI Dental N N N N A1464 IBEW LOCAL 364 CI Dental N N N N A1317 IBEW LOCAL 38 CI Dental N N N N IBE98 IBEW LOCAL 38 CI Prof N N N N A1461 IBEW LOCAL 461 CI Dental N N N N A4681 IBEW LOCAL 481 CI Dental N N N N IBE97 IBEW LOCAL 481 CI Prof N N N N 81810 IBG ADMINISTRATORS LLC CI Prof N N N N 68241 IBM MEDICAL PLANS CI Prof N N N N 68241 IBM MEDICAL PLANS CI Inst N N N N 60054 IBM MEDICAL PLANS CI Prof N N N Y 11695 ICARE (INDEPENDENT CARE HEALTH PLAN) WI CI Inst N N N N 11695 ICARE (INDEPENDENT CARE HEALTH PLAN) WI CI Prof N N N N 26054 ICARE HEALTH OPTIONS, TPA CI Prof N N N N 37296 ICM CI Prof N N N N 75185 ICON BENEFIT ADMINISTRATORS CI Inst N N N N 75185 ICON BENEFITS ADMINISTRATORS CI Prof N N N N 27847 ICW (INSURANCE CO OF THE WEST) WC Prof N N N N 12504 IDS PROPERTY CASUALTY INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 22175 IE SHAFFER (WEST TRENTON, NJ) CI Dental N N N N 22175 IE SHAFFER (WEST TRENTON, NJ) CI Prof N N N Y 97661 IEC GROUP - AMERIBEN ID CI Prof N N N N 97661 IEC GROUP - AMERIBEN - INST ID CI Inst N N N N 68066 ILLINICARE GROUP HEALTH IL CI Inst N N N Y 68066 ILLINICARE GROUP HEALTH IL CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1575 ILLINOIS CASUALTY WC Prof N N N N J1575 ILLINOIS CASUALTY (AUTO ONLY) AM Prof N N N N 36600 ILLINOIS CENTRAL HOSPITAL ASSOC CI Prof N N N N 21415 ILLINOIS EMCASCO WC Prof N N N N C1029 ILLINOIS EMCASCO AM Prof N N N N 86069 ILLINOIS HEALTH SOLUTIONS IL CI Prof N N N N 72091 IMA LOUISIANA LA CI Inst N N N N 72091 IMA LOUISIANA LA CI Prof N N N N 41600 IMCARE CI Prof N N N N 41600 IMCARE - INST CI Inst N N N N IMGIN IMG INTERNATIONAL MEDICAL GROUP CI Prof N N N N IMGIN IMG INTERNATIONAL MEDICAL GROUP - INST CI Inst N N N N 41556 IMPERIAL IRRIGATION DISTRICT WC Prof N N N N IMSMS IMS MANAGEMENT SERVICES TX CI Prof N N N N 86070 IMX EZ NV CI Prof N N N N 41556 INCONEN CORPORATION WC Prof N N N N 40585 INDECS CORP CI Prof N N N N TA720 INDEPENDENCE ADMINISTRATORS CI Prof N Y Y Y IMG01 INDEPENDENCE MEDICAL GROUP - KERN COUNTY CA CI Prof N N N N IMG02 INDEPENDENCE MEDICAL GROUP - TULARE COUNTY CA CI Prof N N N N 95308 INDEPENDENT HEALTH NEW YORK NY CI Prof N Y Y Y 46166 INDEPENDENT LIVING SYSTEMS MANAGED LTC CI Prof N N N N DELOK INDIAN HEALTH SERVICES CI Dental N N N N 290 INDIAN HEALTH SERVICES (IHS) - BCBSNM NM CI Prof N N N N ICW01 INDIANA CARPENTERS WELFARE PENSION FUND CI Dental N N N N ICW99 INDIANA CARPENTERS WELFARE FUND IN CI Prof N N N N ICHIA INDIANA COMPREHENSIVE HEALTH INS (PAPER) CI Prof N N N N ESP01 INDIANA IHCP ESP (ANTHEM) IN BL Prof N N N N J1425 INDIANA INSURANCE WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 35161 INDIANA PRO HEALTH NETWORK IN CI Prof N Y N N 35161 INDIANA PROHEALTH IN CI Prof N N N N 35107 INDIANA TEAMSTERS HEALTH BENEFIT FUNDS CI Dental N N N N TPC50 INDUSTRY LOCAL 338 P W FU CI Dental N N N N 43471 INETICO INC CI Prof N N N Y 43471 INETICO INC - INST CI Inst N N N N 52196 INFORMED CI Prof N N N N 52196 INFORMED LLC INST CI Inst N N N N 50946 INFORMED UHC COMPASS ROSE CI Prof N N N N 50946 INFORMED UHC COMPASS ROSE INST CI Inst N N N N 36348 INGALLS PROVIDER GROUP CI Prof N N N N IEHP1 INLAND EMPIRE HEALTH PLAN (IEHP) CA CI Prof N Y N Y IEHP1 INLAND EMPIRE HEALTH PLAN (IEHP) - INST CA CI Inst N N N N MVMM1 INLAND FACULTY MEDICAL GROUP CA CI Prof N N N N IHORG INLAND HEALTH ORGANIZATION (IHO) CA CI Prof N N N N 41556 INLAND VALLEY HOSPICE WC Prof N N N N 40025 INNOVATION HEALTH CI Prof N N N N J1599 INNOVATIVE CLAIM SOLUTIONS (ICS) - RANCHO CORDOVA WC Prof N N N N J1599 INNOVATIVE CLAIM SOLUTIONS (ICS) - RANCHO CORDOVA (AUTO ONLY) AM Prof N N N N J1601 INNOVATIVE CLAIM SOLUTIONS (ICS) - SAN RAMON WC Prof N N N N J1601 INNOVATIVE CLAIM SOLUTIONS (ICS) - SAN RAMON (AUTO ONLY) AM Prof N N N N 4320 INNOVATIVE HEALTHWARE SOLUTIONS CI Prof N N N N 4320 INNOVATIVE HEALTHWARE SOLUTIONS - INST CI Inst N N N N VAICE INS HEALTH SERVICES (IMMIGRATION HEALTH SERVICES) CI Prof N N N N J1073 INSILCO CORP WC Prof N N N N 68241 INSTITUTES OF QUAL CI Inst N N N N 37279 INSURANCE ADMINISTRATOR OF AMERICA (IAA) CI Prof N N N Y 37279 INSURANCE ADMINISTRATORS OF AMERICA, INC CI Inst N N N N 63082 INSURANCE CLAIMS SERVICES (BIRMINGHAM, AL) CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 63082 INSURANCE CLAIMS SERVICES, INC (BIRMINGHAM, CI Inst N N N N 13315 INSURANCE DESIGN ADMINISTRATORS CI Inst N N N N 13315 INSURANCE DESIGN ADMINISTRATORS (IDA) CI Prof N N N Y IMSMS INSURANCE MANAGEMENT SERVICES OF TEXAS CI Prof N N N N IMSMS INSURANCE MANAGEMENT SERVICES OF TEXAS - INST CI Inst N N N N ISL11 INSURANCE SERVICE OF LUBBOCK TX CI Prof N N N Y 39182 INSURANCE TPACOM CI Prof N N N N 39182 INSURANCE TPACOM - INST CI Inst N N N N IAC01 INSURER'S ADMINISTRATIVE CORP CI Dental N N N N IAC01 INSURERS ADMINISTRATIVE CORPORATION (IAC) CI Prof N Y N N IAC01 INSURERS ADMINISTRATIVE CORPORATION (IAC) - INST CI Inst N N N N C1028 INTEGON CASUALTY INSURANCE CO AM Prof N N N N C1028 INTEGON GENERAL INSURANCE CORP AM Prof N N N N C1028 INTEGON INDEMNITY CORP AM Prof N N N N C1028 INTEGON NATIONAL INSURANCE CO AM Prof N N N N C1028 INTEGON PREFERRED INSURANCE CO AM Prof N N N N 51020 INTEGRA ADMINISTRATIVE GROUP CI Prof N Y N N 51020 INTEGRA ADMINISTRATIVE GROUP - DENTAL CI Dental N N N N 51020 INTEGRA ADMINISTRATIVE GROUP - INST CI Inst N N N N 31127 INTEGRA GROUP CI Prof N N N N 31129 INTEGRA GROUP - CHA CI Prof N N N N 31127 INTEGRA GROUP - INST CI Inst N N N N 23229 INTEGRAL QUALITY CARE CI Prof N N N N 23229 INTEGRAL QUALITY CARE - INST CI Inst N N N N 37124 INTEGRATED BENEFIT SERVICES IL CI Prof N N N N 34167 INTEGRATED CARE NETWORK (ICN) BY EMERALD CI Inst N N N N 20050 INTEGRATED MEDICAL SOLUTIONS LLC CI Prof N N N N 20050 INTEGRATED MEDICAL SOLUTIONS LLC - INST CI Prof N N N N 58200 INTEGRITY BENEFITS NETWORK CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 10322 INTEGRITY MUTUAL INSURANCE COMPANY AM Prof N N N N 14303 INTEGRITY WC WC Prof N N N N 23252 INTER COUNTY HEALTH PLAN - ICHP (AHA) PA CI Prof N N Y Y J1542 INTERCARE WC Prof N N N N J1542 INTERCARE (AUTO ONLY) AM Prof N N N N 60280 INTERFACE EAP CI Prof N N N N 60280 INTERFACE EAP (IEAP) CI Inst N N N N 23287 INTERGROUP SERVICES CORPORATION CI Inst N N N N 23287 INTERGROUP SERVICES PPO CI Prof N N N N IAT99 INTERNATIONAL ASSOCIATION OF THEATRICAL STAGE EMPLOYEES GA CI Prof N N N N 36609 INTERNATIONAL BROTHERHOOD OF BOILERMAKERS CI Inst N N N N 48603 INTERNATIONAL BROTHERHOOD OF BOILERMAKERS (IBBEHC) CI Prof N N N N 48603 INTERNATIONAL BROTHERHOOD OF BOILERMAKERS (IBBEHC) - INST CI Inst N N N N 37269 INTERNATIONAL UNION OF OPERATING ENGINEERS - INST CI Inst N N N N 37269 INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 15, 15A, 15C, 15D CI Prof N N N N 84137 INTERWEST HEALTH (MONTANA) PPO MT CI Prof N N N N IHP01 INTOTAL HEALTH FKA AMERIGROUP VIRGINIA VA CI Prof N N N Y IHP02 INTOTAL HEALTH FKA AMERIGROUP VIRGINIA INST VA CI Inst N N N N CX014 ION HEALTH, INC CI Dental N N N N 86068 IOWA HEALTH SOLUTIONS IA CI Prof N N N N OBALB IOWA IRON WORKERS HEALTH PLAN CI Prof N N N N J1074 IREX CORPORATION WC Prof N N N N TPC51 IRONWORKERS L40, L361, L417 CI Dental N N N N TPC52 IRONWORKERS LOCAL 455 CI Dental N N N N J1075 IRONWORKING CONTRACT IP WC Prof N N N N ISL11 ISOL CI Prof N N N N J1911 ISURITY WORK COMP WC Prof N N N N 42600 ITASCA MEDICAL CARE CI Dental N N N N A0138 J B HUNT TRANSPORT INC WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status JAI01 JAI MEDICAL CI Prof N N N N 41556 JD MECHANICAL WC Prof N N N N 41556 JEFFERSON COUNTY TEXAS WC Prof N N N N JPF01 JEFFERSON PILOT GUARANTEE LIFE INSURANCE COMPANY (GLIC) CI Dental N N N N JEN01 JENKINS ASSOCIATES CI Dental N N N N JEN99 JENKINS ASSOCIATES GA CI Prof N N N N 41556 JH MCCORMACK CONST WC Prof N N N N J1006 JI SPECIALTY SERVICES WC Prof N N N N JISSP JI SPECIALTY SERVICES, INC COMMERCIAL CI Prof N N N N 59171 JMH MEDICARE ADVANTAGE CI Prof N N N N 41099 JOHN ALDEN LIFE INSURANCE CO - DENTAL CI Dental N N N N 41099 JOHN ALDEN LIFE INSURANCE CO - INST CI Inst N N N N 65099 JOHN HANCOCK CI Inst N N N N 65099 JOHN HANCOCK GIC INDEMNITY CI Prof N N N N 38310 JOHN MORRELL CO - AVERA AHPBA CI Inst N N N N 38310 JOHN MORRELL CO - AVERA AHPBA CI Prof N N N N 41556 JOHN MUIR HEALTH WC Prof N N N N JMH01 JOHN MUIR PHYSICIANS NETWORK CA CI Prof N N N N 68031 JOHN MUIR TRAMA CA CI Prof N N N N 37215 JOHN P PEARL ASSOC CI Inst N N N N 37215 JOHN P PEARL ASSOCIATES CI Prof N N N N 66003 JOHNS HOPKINS ADVANTAGE MD CI Prof N N N N 66003 JOHNS HOPKINS ADVANTAGE MD - INST CI Inst N N N N 52189 JOHNS HOPKINS EHP - PRIORITY PARTNERS CI Prof N Y N N 52189 JOHNS HOPKINS EHP - PRIORITY PARTNERS - INST CI Inst N N N N 52123 JOHNS HOPKINS US FAMILY HEALTH PLAN (USFHP) CI Prof N N N Y 52123 JOHNS HOPKINS US FAMILY HEALTH PLAN (USFHP) - INST CI Inst N N N N J1118 JOHNSTON SCHOOLS WC Prof N N N N J1076 JONES TRUCK LINES,INC WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 34136 JP FARLEY CORPORATION CI Dental N N N N 34136 JP FARLEY CORPORATION CI Inst N N N N 34136 JP FARLEY CORPORATION CI Prof N N N N 41556 JUDSON ISD WC Prof N N N N J1077 JUVENILE JAIL FACILITY MANAGEM WC Prof N N N N 91617 KAISER FOUNDATION HEALTH PLAN COLORADO CO CI Prof N N N Y COKSR KAISER FOUNDATION HEALTH PLAN COLORADO CO CI Prof N Y N Y COKSR KAISER FOUNDATION HEALTH PLAN COLORADO - INST CO CI Inst N N N Y 21313 KAISER FOUNDATION HEALTH PLAN GEORGIA GA CI Prof N Y N N 21313 KAISER FOUNDATION HEALTH PLAN GEORGIA - INST GA CI Inst N N N N KS008 KAISER FOUNDATION HEALTH PLAN MID-ATLANTIC CI Prof N Y N Y 94135 KAISER FOUNDATION HEALTH PLAN NORTH CALIF CA CI Prof N Y N Y 93079 KAISER FOUNDATION HEALTH PLAN NORTHWEST CI Prof N Y N N 93079 KAISER FOUNDATION HEALTH PLAN NORTHWEST - INST CI Inst N N N N 94134 KAISER FOUNDATION HEALTH PLAN SOUTH CALIF CA CI Prof N Y N Y 94134 KAISER FOUNDATION HEALTH PLAN SOUTH CALIF - INST CA CI Inst N N N N KPIC1 KAISER PERMANENTE - PHCS PPO CI Prof N Y N N 94123 KAISER PERMANENTE HAWAII HI CI Prof N Y N Y 94123 KAISER PERMANENTE HAWAII INST HI CI Inst N N N N KS003 KAISER PERMANENTE NORTHERN CA CA CI Prof N N N Y KS001 KAISER PERMANENTE SOUTHERN CA CA CI Prof N N N Y 94320 KAISER SELF FUNDED PLAN CI Prof N N N Y 94320 KAISER SELF FUNDED PLAN - INST CI Inst N N N N 47171 KANSAS CITY BLUE SHIELD KS BL Dental N N Y N A2032 KANSAS CITY LABORERS WELFARE FUND CI Dental N N N N 44030 KANSAS CITY LIFE INSURANCE CO CI Prof N N N N 81812 KATY MEDICAL GROUP (KMG) CI Prof N Y N N 41556 KAUTZ VINYARDS WC Prof N N N N 37313 KBA ASSURANT HEALTH CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1078 KCI HOLDINGS USA WC Prof N N N N J1498 KEENAN AND ASSOCIATES (WC) WC Prof N N N N KEE01 KEENAN AND ASSOCIATES COMMERCIAL CA CI Prof N N N N KELSE KELSEY-SEYBOLD CI Prof N N N N 61453 KEMPER BENEFITS KEY BENEFIT ADMINISTRATORS CI Prof N N N N 61453 KEMPER BENEFITS KEY BENEFIT ADMINISTRATORS INST CI Inst N N N N C1030 KEMPER PREFERRED (AUTO) AM Prof N N N N 73100 KEMPTON COMPANY CI Inst N N N N 73100 KEMPTON COMPANY CI Prof N Y N Y 73100 KEMPTON GROUP ADMINISTRATORS CI Inst N N N N 73100 KEMPTON GROUP ADMINISTRATORS CI Prof N N N Y J1079 KEN DAVIS INDUSTRIES INC WC Prof N N N N 27215 KENTUCKY HEALTH ADMINISTRATORS INC KY CI Prof N N N N 27215 KENTUCKY HEALTH ADMINISTRATORS INC - INST KY CI Inst N N N N 77894 KENTUCKY HEALTH COOPERATIVE KY CI Prof N N N N 77894 KENTUCKY HEALTH COOPERATIVE - INST KY CI Inst N N N N 63077 KENTUCKY HEALTH SELECT CI Inst N N N N 63077 KENTUCKY HEALTH SELECT KY CI Prof N N N N 68067 KENTUCKY SPIRIT - DOS THRU 7-05-2013 KY CI Prof N N N Y 68067 KENTUCKY SPIRIT HEALTH PLAN - DOS THRU 7-05-2013 KY CI Prof N N N Y 68067 KENTUCKY SPIRIT HEALTH PLAN INST - DOS THRU 7-05-2013 KY CI Inst N N N Y 37124 KEPPLE CO IL CI Prof N N N N 37124 KEPPLE AND CO CI Inst N N N N KERN1 KERN FAMILY HEALTH CA CA CI Prof N N N N 37217 KEY BENEFIT ADMINISTRATORS (IN) CI Prof N Y N N 37217 KEY BENEFIT ADMINISTRATORS (IN) - INST CI Inst N N N N IP082 KEY MEDICAL GROUP CA CI Prof N N N N J1521 KEY RISK MANAGEMENT SERVICES LLC WC Prof N N N N 37321 KEY SELECT CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 37323 KEY SOLUTION CI Prof N Y N N 37323 KEY SOLUTION - INST CI Inst N N N N J1118 KEYSTONE WC Prof N N N N 77050 KEYSTONE CONNECT (AMERIHEALTH) PA CI Prof N N N N 77050 KEYSTONE CONNECT (AMERIHEALTH) - INST PA CI Inst N N N N 23284 KEYSTONE FIRST (MERCY) PA CI Prof N Y N Y 23284 KEYSTONE FIRST (MERCY) - INST PA CI Inst N N N N 23045 KEYSTONE HEALTH PLAN CENTRAL (CBC) PA CI Prof N Y Y Y 95056 KEYSTONE HEALTH PLAN EAST PA CI Prof N Y Y Y 95056 KEYSTONE HEALTH PLAN EAST - INST CI Inst N N Y Y CX014 KEYSTONE MERCY HEALTH PLAN - DENTAL CI Dental N N N N 84223 KEYSTONE VIP CHOICE CI Prof N N N Y 41556 KING PAK POTATO COMPANY LLC WC Prof N N N N 41556 KING RANCH WC Prof N N N N J1614 KIRKLAND'S, INC WC Prof N N N N J1614 KIRKLAND'S, INC (AUTO ONLY) AM Prof N N N N KPS01 KITSAP PHYSICIANS SERVICE CI Prof N Y N N 3414A KLAIS COMPANY (REPRICING FOR HEALTHSPAN NETWORK ONLY) CI Prof N N N N 3414A KLAIS COMPANY (REPRICING FOR HEALTHSPAN NETWORK ONLY) - INST CI Inst N N N N 34145 KLAIS AND COMPANY CI Prof N N N Y 34145 KLAIS AND COMPANY - INST CI Inst N N N Y KAMG1 KOREAN AMERICAN MEDICAL GROUP CA CI Prof N N N N 41556 KTA CONSTRUCTION (COSD2) WC Prof N N N N 41556 L ARROWHEAD C CLUB WC Prof N N N N LACAR LA CARE HEALTH PLAN (CALIF) CA CI Prof N N N N LACAR LA CARE HEALTH PLAN (CALIF) - INST CA CI Inst N N N N HM039 LA CARE HEALTH PLAN ENCOUNTERS ONLY CA CI Prof N N N N 66019 LA CRUZ AZUL (LCA) PR CI Prof N N N N LSH01 LABORERS SOUTHEST HEALTH WELFARE PLAN - DENTAL CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41556 LACLEDE CHAIN WC Prof N N N N 41556 LACLEDE STEEL WC Prof N N N N 44827 LAKE AREA COMMUNITY HEALTH PLAN - SISCO CI Prof N N N N 44827 LAKE AREA COMMUNITY HEALTH PLAN - SISCO - INST CI Inst N N N N 41556 LAKE ELSINORE SCHOOL DISTRICT WC Prof N N N N 37112 LAKE FOREST MANAGE CARE HOS CI Inst N N N N 37112 LAKE FOREST MANAGED CARE ASSOCIATES CI Prof N N N N LCHC1 LAKESIDE COMPREHENSIVE HEALTHCARE CI Prof N N N N 95415 LAKESIDE HEALTH SERVICES CI Inst N N N N LMG11 LAKESIDE MEDICAL GROUP CI Prof N N N N LIPAZ LAKEWOOD IPA CA CI Prof N N N N 41556 LAMAR CONSOLIDATED ISD WC Prof N N N N 41556 LAMESA ISD WC Prof N N N N 16109 LANCASTER GENERAL HEALTH GROUP CI Prof N N N N 90096 LAND OF LINCOLN HEALTH CI Prof N Y N N 41556 LANDMARK GOLF CO WC Prof N N N N 41556 LANDMARK GRAD AND PAVING WC Prof N N N N LNDMK LANDMARK HEALTHCARE CI Prof N N N N J1080 LANDSTAR BCO WC PROGRAM WC Prof N N N N 41556 LANE COUNTY WC Prof N N N N 41556 LARIMER COUNTY - WC WC Prof N N N N NMM02 LASALLE MEDICAL ASSOCIATES CA CI Prof N N N N NMM02 LASALLE MEDICAL ASSOCIATES - INST CA CI Inst N N N N MPM14 LASALLE MEDICAL GROUP CA CI Prof N N N N 41556 LB AUTOPACIFIC PART WC Prof N N N N 41556 LB AUTOPACIFIC SUPP WC Prof N N N N 52193 LBA HEALTH PLANS CI Prof N N N N 52193 LBA HEALTH PLANS - INST CI Inst N N N N J1527 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST MN WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41556 LEKOS ELECTRIC WC Prof N N N N 37316 LEON MEDICAL CENTER HEALTH PLAN CI Prof N Y N N 41556 LEVIN ENTERPRISES, INC WC Prof N N N N TPC54 LEVTTTOWN UNITED TEACHERS CI Dental N N N N J1650 LFP CORPORATION WC Prof N N N N J1650 LFP CORPORATION (AUTO ONLY) AM Prof N N N N 32838 LHP CLAIMS UNIT CI Inst N N N N CX083 LIBERTY DENTAL PLAN CI Dental N N N N 87071 LIBERTY HEALTH ADVANTAGE CI Prof N N N N 90753 LIBERTY HEALTHSHARE MEDCOST SOLUTIONS CI Prof N N N N 33600 LIBERTY MUTUAL WC Prof N N N N 33600 LIBERTY MUTUAL MIDDLE MARKETS WC Prof N N N N 33600 LIBERTY NORTHWEST WC Prof N N N N 37281 LIBERTY UNION CI Inst N N N N 37281 LIBERTY UNION LIFE ASSURANCE CO CI Prof N N N Y 33600 LIBERTY WAUSAU WC Prof N N N N 37281 LIFE ASSURANCE COMPANY CI Prof N N N Y 37281 LIFE ASSURANCE COMPANY - INST CI Inst N N N N 25181 LIFE PITTSBURGH CI Prof N N N N 76184 LIFE ST MARY CI Prof N N N N 41136 LIFE TRAC CI Prof N N N N 41136 LIFE TRAC - INST CI Inst N N N N 94245 LIFEGUARD CI Prof N N N N LFGRD LIFEGUARD CI Prof N N N N 53172 LIFEMARK CONTACT MARK MESSER CI Prof N N N N 76870 LIFEPATH HOSPICE CI Prof N N N N 27005 LIFESTYLE HEALTH PLANS CI Prof N N N N 61104 LIFESYNCH CI Prof N N N N EBSRM LIFETIME BENEFIT SOLUTIONS (TPA) CI Prof N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status EBS01 LIFETIME BENEFITS (FKA EBS) DENTAL CI Dental N N N N 93093 LIFEWISE HEALTH PLAN OF OREGON OR CI Prof N Y N Y 91049 LIFEWISE HEALTH PLAN OF WASHINGTON WA BL Prof N Y N Y 91049 LIFEWISE HEALTH PLAN OF WASHINGTON INST WA BL Inst N N N Y CX061 LINCOLN FINANCIAL GROUP (LINCOLN NATIONAL LIFE) CI Dental N N N N 73288 LINCOLN NATIONAL CI Prof N N N N 75283 LINN COUNTY CI Prof N N N N 75283 LINN COUNTY CI Inst N N N N 41556 LIVINGSTON ISD WC Prof N N N N 41556 LK ARROWHEAD CO CLUB WC Prof N N N N TPC55 LOCAL 1 POINTERS CAULKERS CI Dental N N N N TPC56 LOCAL 1-0318 HEALTH WELFARE FUND CI Dental N N N N TPC57 LOCAL 1034 CI Dental N N N N 35107 LOCAL 135 HEALTH BENEFITS FUND (INDIANAPOLIS, CI Inst N N N N 35107 LOCAL 135 HEALTH BENEFITS FUND (INDIANAPOLIS, IN) CI Prof N N N N PCM01 LOCAL 148 HEALTH WELFARE FUND CI Dental N N N N TPC58 LOCAL 153 DISCOUNT DENTAL PLAN CI Dental N N N N TPC59 LOCAL 153 HEALTH FUND CI Dental N N N N TPC60 LOCAL 1730 ILA CI Dental N N N N TPC61 LOCAL 1969 CIVIL SERVICE EMPLOYEES CI Dental N N N N IBT99 LOCAL 295851 IBT EMPLOYER GROUP WELFARE FUND CI Prof N N N N TPC62 LOCAL 306 IATSE MUNICIPAL EMPLOYEES CI Dental N N N N 62308 LOCAL 371 - CIGNA CI Prof Y Y N Y TPC63 LOCAL 802 WELFARE FUND CI Dental N N N N TPC64 LOCAL 807 LABOR-MGMNT HEALTH FUND CI Dental N N N N 41556 LODI MEMORIAL HOSPITAL WC Prof N N N N 37267 LOMA LINDA UNIVERSITY ADVENTIST CI Prof N N N N 37267 LOMA LINDA UNIVERSITY ADVENTIST HEALTH CI Inst N N N N 37267 LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 37267 LOMA LINDA UNIVERSITY EMPLOYEE HEALTH PLAN CI Inst N N N N 37267 LOMA LINDA UNIVERSITY HEALTH CARE EMPLOYEE CI Inst N N N N 37267 LOMA LINDA UNIVERSITY STUDENT HEALTH PLAN CI Inst N N N N 37226 LONDON HEALTH ADMINISTRATORS CI Prof N N N N 45289 LONE STAR TPA CI Prof N Y N N J1515 LONG BEACH UNIFIED SCHOOL DISTRICT WC Prof N N N N J1464 LONGS DRUGS WC Prof N N N N PR002 LOS ALAMOS TOTAL CARE CI Prof N N N N LAF99 LOS ANGELES FIREMANS RELIEF FUND CA CI Prof N N N N LAF01 LOS ANGELES FIREMENS RELIEF ASSOCIATION (LAFRA) CI Dental N N N N 88075 LOUISIANA HEALTH COOPERATIVE LA CI Prof N N N N 88075 LOUISIANA HEALTH COOPERATIVE - INST LA CI Inst N N N N 68069 LOUISIANA HEALTHCARE CONNECTIONS - BAYOU HEALTH LA MC Prof N Y N Y 68069 LOUISIANA HEALTHCARE CONNECTIONS INST LA MC Inst N N N Y J1547 LOUISIANA WORKERS' COMPENSATION CORPORATION (LWCC) WC Prof N N N N CX014 LOVELACE COMMUNITY HEALTH PLAN CI Dental N N N N SX159 LOVELACE SALUD MEDICAID THRU 7-31-2013 NM CI Prof N N N N 90328 LOVELACE SANDIA HEALTH PLAN CI Prof N Y N N 90328 LOVELACE SANDIA HEALTH PLAN INST CI Inst N N N N J1465 LOWE'S WC Prof N N N N 13193 LOYAL AMERICAN LIFE (MEDICARE SUPPLEMENT) CI Prof N Y N N J1081 LSG SKY CHEFS INTERNATIONAL WC Prof N N N N J1341 LUBA CASUALTY INSURANCE COMPANY WC Prof N N N N J1341 LUBA CASUALTY INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1540 LUMBERMEN'S UNDERWRITING ALLIANCE CA WC Prof N N N N MP330 LUTHERAN PREFERRED CI Prof N N N N J1669 LYNWOOD UNIFIED SCHOOL DISTRICT (CA) WC Prof N N N N J1669 LYNWOOD UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY) AM Prof N N N N 52133 M-PLAN DENTAL CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1343 MACKINAW ADMINISTRATORS (AUTO) AM Prof N N N N J1343 MACKINAW ADMINISTRATORS (WC) WC Prof N N N N 36334 MACNEAL HEALTH PROVIDERS CI Prof N N Y N J1345 MACYS (DALY CITY) WC Prof N N N N J1346 MACYS (NEWPORT BEACH) WC Prof N N N N J1347 MACYS CORPORATE SERVICES INC WC Prof N N N N 41556 MADERA COMMUNITY HOSPITAL WC Prof N N N N 22445 MAG MUTUAL HEALTHCARE HOSPITAL CI Inst N N N N 1260 MAGELLAN BEHAVIORAL HEALTH CI Prof N Y N Y 1260 MAGELLAN BEHAVIORAL HEALTH INST CI Inst N N N N 11303 MAGNACARE CI Prof N Y N N 11303 MAGNACARE INST CI Inst N N N N 68062 MAGNOLIA HEALTH PLAN MS CI Prof N Y N Y 68062 MAGNOLIA HEALTH PLAN INST MS CI Inst N N N Y 34103 MAHONING TRUMBULL BLDNG TRADES CI Inst N N N N 62413 MAIL HANDLERS BENEFIT PLAN CI Prof N Y N Y 62413 MAIL HANDLERS BENEFIT PLAN INST CI Inst N N N Y 45341 MAINE COMMUNITY HEALTH OPTIONS ME CI Prof N N N Y 26372 MAJESTACARE VIRGINIA VA CI Prof N N N N J1082 MAJOR LEAGUE BASEBALL 8 WC Prof N N N N 87726 MAMSI LIFE AND HEALTH INSURANCE CO (MLH) CI Inst N N N Y 87726 MAMSI LIFE HEALTH INS CO (MLH) CI Prof Y Y N Y 65030 MANAGED CARE OF NORTH AMERICA (MCNA) CI Dental N N N N 35162 MANAGED CARE SERVICES CI Prof N Y N N 35162 MANAGED CARE SERVICES, LLC CI Inst N N N N MCS01 MANAGED CARE SYSTEMS CA CI Prof N N N Y 36312 MANAGED HEALTH CARE ASSOC (MHCA) IL CI Prof N N N N CX014 MANAGED HEALTH INC (MHI) CI Dental N N N N 22771 MANAGED HEALTH NETWORK CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CX014 MANAGED HEALTH SERVICES - WI STATE EMPLOYEES CI Dental N N N N 39186 MANAGED HEALTH SERVICES INDIANA IN MC Prof N Y N Y 39187 MANAGED HEALTH SERVICES WISCONSIN WI CI Prof N Y N Y 39187 MANAGED HEALTH SERVICES WISCONSIN - INST WI CI Inst N N N Y MHCA2 MANAGED HEALTHCARE ADMIN - BLUE CHOICE CI Prof N N Y N MHCA1 MANAGED HEALTHCARE ADMIN - EPS CI Prof N N Y N 93900 MANAGED PHYSICAL NETWORK CI Prof N N N Y 41556 MANUFACTURERS ALLIANCE INSURANCE COMPANY WC Prof N N N N 98010 MANULIFE, W J SUTTON, CO (TORONTO, CANADA) CI Dental N N N N 75258 MAPCO CI Prof N N N N 46000 MAPFRE (CANADA LIFE) PR CI Prof N Y N N 52461 MARCH VISION CARE CI Prof N N N N 41556 MARCOTTE AND HEARNE WC Prof N N N N 41556 MARICOPA COUNTY COMMUNITY COLLEGE DISTRICT WC Prof N N N N 9908 MARICOPA HEALTH PLAN - UNIV OF ARIZONA AZ CI Prof N Y N N CX014 MARICOPA HEALTH SYSTEMS HEALTH PLANS CI Dental N N N N IP097 MARIN IPA CA CI Prof N N N N 41556 MARIPOSA COUNTY WC Prof N N N N 247 MARLAND PHYSICIANS CARE CI Inst N N N N 48055 MARQUETTE NATIONAL LIFE INSURANCE CI Prof N N N N 20805 MARRICK MEDICAL FINANCE LLC CI Prof N N N N 68241 MARRIOTT CI Inst N N N N PR002 MARRIOTT CI Prof N N N N MPHC1 MARTINS POINT HEALTH CARE ( MPHC) CI Prof N N N N C1034 MARYLAND CASUALTY COMPANY (AUTO ONLY) AM Prof N N N N 22322 MARYLAND HEALTH PARTNERS HOSP CI Inst N N N N CX014 MARYLAND HELIX CI Dental N N N N MCDMD MARYLAND MEDICAID INST MD MC Inst N N Y Y 22348 MARYLAND PHYSICIANS CARE MD CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 22348 MARYLAND PHYSICIANS CARE INST MD CI Inst N N N N CX014 MARYLAND PHYSICIANS CARE MCO DENTAL CI Dental N N N N SX069 MARYLAND PMHS CI Prof N N N N SX069 MARYLAND PUBLIC MENTAL HEALTH SYSTEM MD CI Prof N N N N 37121 MASHANTUCKET PEQUOT TRIBAL NATION CI Inst N N N N 37121 MASHANTUCKET PEQUOT TRIBAL NATION CI Prof N N N N 60230 MASONRY INDUSTRY TRUST (UCS) CI Prof N N N N J1689 MASSACHUSETTS BAY INSURANCE COMPANY WC Prof N N N N J1689 MASSACHUSETTS BAY INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N MMPHB MASTERS, MATES PILOTS PROGRAM CI Prof N N N N TH111 MASTERS, MATES PILOTS PROGRAM - INST CI Inst N N N N 41556 MATAGORDA COUNTY WC Prof N N N N J1736 MATHESON TRUCKING WC Prof N N N N J1736 MATHESON TRUCKING (AUTO ONLY) AM Prof N N N N TP075 MATRIX ABSENCE MANAGEMENT WC Prof N N N N 2030 MATTHEW THORNTON HEALTH PLAN CI Inst N N N N J1083 MAXIM CRANE WORKS WC Prof N N N N J1347 MAY DEPARTMENT STORES WC Prof N N N N 88090 MAYO CLINIC FLGA CI Prof N N N N 88090 MAYO CLINIC FLGA- INST CI Inst N N N N 41193 MAYO CLINICRECOVERY AND CLAIMS SERVICES WC Prof N N N N 41154 MAYO MANAGEMENT SERVICES CI Prof N Y N Y 41154 MAYO MANAGEMENT SERVICES - INST CI Inst N N N N 83028 MBA BENEFITS ADMINISTRATORS CI Prof N N N N 83028 MBA BENEFITS ADMINISTRATORS INST CI Inst N N N N 87065 MBA OF WYOMING CI Prof N N N N J1084 MC DONALD'S-MCOPCO WC Prof N N N N 25160 MCA ADMINISTRATORS CI Prof N N N Y 59331 MCCREARY CORPORATION CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 59331 MCCREARY CORPORATION CI Prof N N N N 36328 MCHENRY MEDICAL ASSOCIATES CI Inst N N N N 36328 MCHENRY MEDICAL ASSOCIATES (IL) CI Prof N N N N 3833C MCLAREN (MHP) MEDICAID CI Prof N N N N 3833N MCLAREN ABW - NORTHERN HEALTH PLAN CI Prof N N N N 3833T MCLAREN ABW - TENCON HEALTH PLAN CI Prof N N N N 3833R MCLAREN ADVANTAGE HMO SNP CI Prof N N N N 3833A MCLAREN HEALTH ADVANTAGE CI Prof N N N N 38338 MCLAREN HEALTH PLAN (MHP) CI Prof N N N Y 38338 MCLAREN HEALTH PLAN - INST CI Inst N N N N 87726 MD INDIVIDUAL PRACTICE ASSOC CI Prof N N N Y 87726 MD - INDIVIDUAL PRACTICE ASSOCIATION, INC (MD CI Inst N N N Y MDAPN MD ANDERSON PHYSICIAN NETWORK CI Prof N N N N 6118 MD HEALTH PLAN CI Inst N N N N 11338 MDNY HEALTHCARE NY CI Inst N N N N 11338 MDNY HEALTHCARE NY CI Prof N N N N 41556 MDSI PHYS GROUP INC WC Prof N N N N 20475 MDWISE EXCEL NETWORK THRU DOS 12-31-2015 IN MC Prof N Y N N SX172 MDWISE MARKETPLACE IN CI Prof N N N N R6139 MDWISE SELECT HEALTH INDIANA IN CI Prof N N N N SX172 MDWISE TOTAL HEALTH FKA IU MEDICAL IN CI Prof N N N Y MDXHI MDX HAWAII (TPA) HI CI Prof N N N N J1478 MEADOWBROOK INSURANCE GROUP (AUTO) AM Prof N N N N J1478 MEADOWBROOK INSURANCE GROUP WC (WR778) WC Prof N N N N 88058 MED PAY CI Prof N N N N M3CA1 MED3000 CALIFORNIA AFFILIATED PHYSICIAN GROUP CA CI Prof N N N N M3F10 MED3000 CMS EARLY STEPS FL CI Prof N N N N M3F12 MED3000 CMS MMA SPECIALTY PLAN FL CI Prof N N N N M3F11 MED3000 CMS SAFETY NET FL CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status M3F13 MED3000 CMS TITLE 19 NONREFORM FL CI Prof N N N N M3F14 MED3000 CMS TITLE 21 FL CI Prof N N N N M3I01 MED3000 HEALTHSELECT IPA BCBS IL CI Prof N N N N M3F03 MED3000 HEALTHY KIDS FL CI Prof N N N N M3F08 MED3000 PEDICARE TITLE 19 FL CI Prof N N N N M3F06 MED3000 PEDICARE TITLE 21 FL CI Prof N N N N M3I02 MED3000 SOUTHWEST IPA BCBS IL CI Prof N N N N 58202 MEDADMIN SOLUTIONS CI Inst N N N N 58204 MEDADMIN SOLUTIONS CI Inst N N N N 58204 MEDADMIN SOLUTIONS CI Prof N N N N 74323 MEDBEN (NEWARK, OH) CI Inst N N N N 59231 MEDCOM CI Inst N N N N 59231 MEDCOM CI Prof N N N N 68241 MEDCONNECTION CI Inst N N N N 56162 MEDCOST CI Prof N Y N N 56162 MEDCOST INST CI Inst N N N N 95321 MEDFOCUS CI Prof N N N N MCDCA MEDI-CAL CALIFORNIA CA MC Prof N Y Y Y MCCA0 MEDI-CAL CALIFORNIA 04 (OP) INST CA MC Inst N Y Y Y 94265 MEDICA CHOICE (UHC) CI Prof Y Y N Y 94265 MEDICA HEALTH (UHC) INST CI Inst Y N N Y 78857 MEDICA HEALTHCARE PLAN FLORIDA FL CI Prof N N N N 12422 MEDICA2 CI Prof N N N N 12422 MEDICA2 - INST CI Inst N N N N 75254 MEDICAID ALABAMA AL MC Prof N Y N Y MCDAK MEDICAID ALASKA AK MC Prof N Y Y Y MCDAR MEDICAID ARKANSAS AR MC Prof N Y N Y MCDAR MEDICAID ARKANSAS INST AR MC Inst N N N Y 77016 MEDICAID COLORADO CO MC Prof N Y Y Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 77034 MEDICAID GEORGIA GA MC Prof N Y Y Y 77034 MEDICAID GEORGIA INST GA MC Inst N N Y Y MCDIN MEDICAID INDIANA IN MC Prof N Y N Y 18049 MEDICAID IOWA IA MC Prof N Y Y Y MCDKS MEDICAID KANSAS KS MC Prof N Y N Y MCDKY MEDICAID KENTUCKY KY MC Prof N Y Y Y MCDME MEDICAID MAINE ME MC Prof N Y N Y MCDMD MEDICAID MARYLAND MD MC Prof N Y Y Y MCDMA MEDICAID MASSACHUSETTS MA MC Prof N Y Y Y MCDMA MEDICAID MASSACHUSETTS INST MA MC Inst N N Y Y MCDMI MEDICAID MICHIGAN MI MC Prof N Y Y Y MCDMN MEDICAID MINNESOTA MN MC Prof N Y Y Y 77032 MEDICAID MISSISSIPPI MS MC Prof N Y Y Y 77032 MEDICAID MISSISSIPPI INST MS MC Inst N N Y Y 77039 MEDICAID MONTANA MT MC Prof N Y Y Y MCDNE MEDICAID NEBRASKA NE MC Prof N N Y Y MCDNE MEDICAID NEBRASKA DENTAL NE MC Dental N N Y Y MCDNV MEDICAID NEVADA NV MC Prof N Y Y Y MCDNJ MEDICAID NEW JERSEY NJ MC Prof N Y Y Y MCDNY MEDICAID NEW YORK NY MC Prof N Y Y Y MCDNY MEDICAID NEW YORK INST NY MC Inst N N Y Y DNC00 MEDICAID NORTH CAROLINA INST NC MC Inst N N Y Y MCDOH MEDICAID OHIO OH MC Prof N Y N Y MCDOH MEDICAID OHIO INST OH MC Inst N N N Y MCDOR MEDICAID OREGON OR MC Prof N Y Y Y MCDPA MEDICAID PENNSYLVANIA PA MC Prof N Y N Y MCDSC MEDICAID SOUTH CAROLINA SC MC Prof N Y Y Y MCDVA MEDICAID VIRGINIA VA MC Prof N Y N Y MCDWA MEDICAID WASHINGTON WA MC Prof N Y Y Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status MCDWA MEDICAID WASHINGTON INST WA MC Inst N N Y Y MCDWV MEDICAID WEST VIRGINIA WV MC Prof N Y N Y MCDWI MEDICAID WISCONSIN WI MC Prof N Y N Y MC055 MEDICAID WISCONSIN HIRSP ONLY WI CI Prof N N N Y 77046 MEDICAID WYOMING WY MC Prof N Y Y Y 75254 MEDICAID ALABAMA DENTAL (EDS) AL MC Dental N N N N MCDAK MEDICAID ALASKA INST AK MC Inst N N Y Y MCDPP MEDICAID ALL PAPER HCFA MC Prof N N N N MCDAZ MEDICAID ARIZONA (AHCCCS) AZ MC Prof N Y N Y CKCO1 MEDICAID COLORADO - DENTAL CO MC Dental N N N N 77016 MEDICAID COLORADO INST CO MC Inst N N Y Y MCDCT MEDICAID CONNECTICUT CT MC Prof N Y N Y MCDCT MEDICAID CONNECTICUT INST CT MC Inst N N N N MCDDC MEDICAID DC - DEPT OF HEALTHCARE FINANCE DC MC Prof N Y Y Y MCDDE MEDICAID DELAWARE DE MC Prof N Y Y Y 77027 MEDICAID FLORIDA FL MC Prof N Y Y Y 77027 MEDICAID FLORIDA DENTAL FL MC Dental N N Y Y 77060 MEDICAID HAWAII HI MC Prof N Y Y N MCDID MEDICAID IDAHO ID MC Prof N Y N Y MCDID MEDICAID IDAHO INST ID MC Inst N N N Y MCDIL MEDICAID ILLINOIS IL MC Prof N Y Y Y CX014 MEDICAID ILLINOIS DENTAL MC Dental N N N N MCDIL MEDICAID ILLINOIS INST IL MC Inst N N Y Y CKIN1 MEDICAID INDIANA - DENTAL IN MC Dental N N N N MCDIN MEDICAID INDIANA INST IN MC Inst N N N Y 18049 MEDICAID IOWA - INST IA MC Inst N N Y Y MCDKS MEDICAID KANSAS INST KS MC Inst N N N Y MCDLA MEDICAID LOUISIANA LA MC Prof N Y Y Y MCDME MEDICAID MAINE INST ME MC Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status MNATP MEDICAID MINNESOTA (FOR ATYPICAL USE ONLY) MN MC Prof N N N N MCDMN MEDICAID MINNESOTA - INST MN MC Inst N N Y Y MCDMO MEDICAID MISSOURI MO MC Prof N Y N Y CKMO1 MEDICAID MISSOURI DENTAL MO MC Dental N N Y N MODME MEDICAID MISSOURI DME MO MC Prof N N N Y MCDMO MEDICAID MISSOURI INST MO MC Inst N N N Y MCDNE MEDICAID NEBRASKA INST NE MC Inst N N Y Y MCDNH MEDICAID NEW HAMPSHIRE NH MC Prof N Y Y Y MCDNM MEDICAID NEW MEXICO NM MC Prof N Y N Y DNC00 MEDICAID NORTH CAROLINA NC MC Prof N Y Y Y MCDND MEDICAID NORTH DAKOTA ND MC Prof N Y N N MCDND MEDICAID NORTH DAKOTA - INST ND MC Inst N N N N CKCT1 MEDICAID OF CONNECTICUT CT MC Dental N N N N CKKY1 MEDICAID OF KENTUCKY REGION 3 (DORAL DENTAL) MC Dental N N N N CKMA1 MEDICAID OF MASSACHUSETTS DENTAL MA MC Dental N N N N CKNH1 MEDICAID OF NEW HAMPSHIRE NH MC Dental N N N N DNC00 MEDICAID OF NORTH CAROLINA DENTAL NC MC Dental N N Y Y CKSC1 MEDICAID OF SOUTH CAROLINA DENTAL SC MC Dental N N N N TNC01 MEDICAID OF TENNESSEE (TENNCARE) MC Dental N N N N CKVT1 MEDICAID OF VERMONT VT MC Dental N N N N WRAP1 MEDICAID OHIO - WRAP AROUND OH MC Prof N N N Y MCDOK MEDICAID OKLAHOMA OK MC Prof N Y N Y MCDOK MEDICAID OKLAHOMA - DENTAL OK MC Dental N N N Y MCDOK MEDICAID OKLAHOMA - INST OK MC Inst N N N Y OKFOS MEDICAID OKLAHOMA FOSTER CARE FOR ATYPICAL USE ONLY OK MC Prof N N N Y CX014 MEDICAID PENNSYLVANIA DENTAL MC Dental N N N N MCDPA MEDICAID PENNSYLVANIA INST PA MC Inst N N N Y MCDRI MEDICAID RHODE ISLAND RI MC Prof N N Y Y MCDSD MEDICAID SOUTH DAKOTA SD MC Prof N Y Y Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CX014 MEDICAID TENNESSEE DENTAL MC Dental N N N N EP916 MEDICAID TEXAS EPSDT - PIN TX MC Prof N Y N Y 86916 MEDICAID TEXAS INST TX MC Inst N N N Y 86916 MEDICAID TEXAS TMHP TX MC Prof N Y N Y 86916 MEDICAID TX TX MC Prof N N N Y MCDUT MEDICAID UTAH - FFS UT MC Prof N Y Y Y MCDVT MEDICAID VERMONT VT MC Prof N Y Y Y MCDVA MEDICAID VIRGINIA - INST VA MC Inst N N N Y MCDWV MEDICAID WEST VIRGINIA - INST WV MC Inst N N N Y 77046 MEDICAID WYOMING - INST WY MC Inst N N N N MEDAD MEDICAL ADMINISTRATORS PAPER WPROV ID CI Prof N N N N MAHC1 MEDICAL ASSOCIATES HEALTH PLAN HEALTH CHOICES CI Prof N N N Y MAHC1 MEDICAL ASSOCIATES HEALTH PLAN - INST CI Inst N N N N 41556 MEDICAL BEN ADMIN WC Prof N N N N 68041 MEDICAL BENEFITS ADMINISTRATION CI Prof N N N N 37298 MEDICAL BENEFITS ADMINISTRATORS OF MD CI Prof N N N N 74323 MEDICAL BENEFITS ADMINISTRATORS, INC (NEWARK, CI Inst N N N N 74323 MEDICAL BENEFITS COMPANIES (NEWARK, OH) CI Inst N N N N 74323 MEDICAL BENEFITS MUTUAL CI Prof N Y N N 74323 MEDICAL BENEFITS MUTUAL (NEWARK, OH) CI Inst N N N N 74323 MEDICAL BENEFITS MUTUAL LIFE INSRANCE CO CI Inst N N N N 66039 MEDICAL CARD SYSTEM (MCS) PR CI Prof N N N Y 4258 MEDICAL CLAIMS SERVICE CI Prof N N N N 4258 MEDICAL CLAIMS SERVICE INC CI Inst N N N N 52181 MEDICAL DEVELOPMENT INTERNATIONAL CI Prof N N N N 29076 MEDICAL MUTUAL OF OHIO OH CI Prof N Y N Y 29076 MEDICAL MUTUAL OF OHIO - INST OH CI Inst N N N Y CSMED MEDICAL NETWORK OF COLORADO SPRINGS CO CI Prof N N N N 80026 MEDICAL PARTNERS OF AMERICA CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 80026 MEDICAL PARTNERS OF AMERICA CI Prof N N N N 13375 MEDICAL SELECT MANAGEMENT CI Prof N N N N 13375 MEDICAL SELECT MANAGEMENT HSP CI Inst N N N N IP186 MEDICAL SERVICES INITIATIVE CI Prof N Y N N 38224 MEDICAL VALUE PLAN MVPOH OH CI Prof N N N N MBAL2 MEDICARE ALABAMA AL MB Prof N Y Y Y MAAL1 MEDICARE ALABAMA PART A AL MA Inst N N Y Y MBAK2 MEDICARE ALASKA AK MB Prof N Y Y Y MBAZ2 MEDICARE ARIZONA AZ MB Prof N Y Y Y MBAR2 MEDICARE ARKANSAS AR MB Prof N Y Y Y MBCA1 MEDICARE CALIFORNIA NORTHERN REGION CA MB Prof N Y Y Y MACA1 MEDICARE CALIFORNIA PART A CA MA Inst N Y Y Y MBCO2 MEDICARE COLORADO CO MB Prof N Y Y Y MBCT2 MEDICARE CONNECTICUT CT MB Prof N Y Y Y MBDC2 MEDICARE DC METRO DC MB Prof N Y Y Y MBDE2 MEDICARE DELAWARE DE MB Prof N Y Y Y MBFL2 MEDICARE FLORIDA FL MB Prof N Y Y Y MBGA2 MEDICARE GEORGIA GA MB Prof N Y Y Y MBHI2 MEDICARE HAWAII HI MB Prof N Y Y Y MBID2 MEDICARE IDAHO ID MB Prof N Y Y Y MBIL2 MEDICARE ILLINOIS IL MB Prof N Y Y Y MBIN2 MEDICARE INDIANA IN MB Prof N Y Y Y MB849 MEDICARE IOWA IA MB Prof N Y Y Y MBKY2 MEDICARE KENTUCKY KY MB Prof N Y Y Y MBLA2 MEDICARE LOUISIANA LA MB Prof N Y Y Y MBME2 MEDICARE MAINE ME MB Prof N Y Y Y MBMA2 MEDICARE MASSACHUSETTS MA MB Prof N Y Y Y MBMI2 MEDICARE MICHIGAN MI MB Prof N Y Y Y MBMN2 MEDICARE MINNESOTA MN MB Prof N Y Y Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status MBMS2 MEDICARE MISSISSIPPI MS MB Prof N Y Y Y MBMT2 MEDICARE MONTANA MT MB Prof N Y Y Y 655 MEDICARE NEBRASKA NE MB Prof N N Y Y MBNH2 MEDICARE NEW HAMPSHIRE NH MB Prof N Y Y Y MBNJ2 MEDICARE NEW JERSEY NJ MB Prof N Y Y Y MBNY4 MEDICARE NEW YORK QUEENS COUNTY ONLY NY MB Prof N Y Y Y MBNY3 MEDICARE NEW YORK UPSTATE NY MB Prof N Y Y Y MBNC2 MEDICARE NORTH CAROLINA NC MB Prof N Y Y Y MBND2 MEDICARE NORTH DAKOTA ND MB Prof N Y Y Y MAND1 MEDICARE NORTH DAKOTA PART A ND MA Inst N Y Y Y MBOK2 MEDICARE OKLAHOMA OK MB Prof N Y Y Y MBPA2 MEDICARE PENNSYLVANIA PA MB Prof N Y Y Y MBRI2 MEDICARE RHODE ISLAND RI MB Prof N Y Y Y MBSC2 MEDICARE SOUTH CAROLINA SC MB Prof N Y Y Y MBSD2 MEDICARE SOUTH DAKOTA SD MB Prof N Y Y Y MBTN2 MEDICARE TENNESSEE TN MB Prof N Y Y Y MBUT2 MEDICARE UTAH UT MB Prof N Y Y Y MBVT2 MEDICARE VERMONT VT MB Prof N Y Y Y MBWA2 MEDICARE WASHINGTON WA MB Prof N Y Y Y MBWV2 MEDICARE WEST VIRGINIA WV MB Prof N Y Y Y MBWI2 MEDICARE WISCONSIN WI MB Prof N Y Y Y MBWY2 MEDICARE WYOMING WY MB Prof N Y Y Y RH450 MEDICARE A RURAL - FQHC - LEGACY - NGS MA Inst N Y Y Y RH301 MEDICARE A RURAL - FQHC - LEGACY CAHABA MA Inst N Y Y Y RH400 MEDICARE A RURAL - FQHC - NOVITAS TX MA Inst N N Y Y 60 MEDICARE ADVANTAGE CONNECTICUT - BLUE CT BL Prof Y Y Y Y MR710 MEDICARE ADVANTAGE MICHIGAN PLUS BLUE - PROF MI MB Prof N Y Y Y MR210 MEDICARE ADVANTAGE MICHIGAN - INST MI MA Inst N N N N MAAR1 MEDICARE ARKANSAS PART A AR MA Inst N Y Y Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status MBCA2 MEDICARE CALIFORNIA SOUTHERN REG CA MB Prof N Y Y Y MACO1 MEDICARE COLORADO PART A CO MA Inst N Y Y Y MAFL1 MEDICARE FLORIDA PART A FL MA Inst N N Y Y MAJ11 MEDICARE HOME HEALTH HOSPICE J11 (PALMETTO) MA Inst N Y N N MAHHH MEDICARE HOME HEALTH HOSPICE J15 (CGS) MA Inst N N N N MAID1 MEDICARE IDAHO PART A ID MA Inst N Y Y Y MAIL1 MEDICARE ILLINOIS PART A IL MA Inst N Y Y Y MAIN1 MEDICARE INDIANA J8 PART A IN MA Inst N Y Y Y MAJ49 MEDICARE J4901 PART A MA Inst N Y Y Y 650 MEDICARE KANSAS KS MB Prof N Y Y Y MBKS2 MEDICARE KANSAS KS MB Prof N Y Y Y MAKS1 MEDICARE KANSAS J5 PART A KS MA Inst N N Y Y MAKY1 MEDICARE KENTUCKY PART (A) KY MA Inst N Y Y Y MALA1 MEDICARE LOUISIANA PART A LA MA Inst N Y Y Y MBMD2 MEDICARE MARYLAND MD MB Prof N Y Y Y MAMA1 MEDICARE MASSACHUSETTS PART A MA MA Inst N Y Y Y MAMI1 MEDICARE MICHIGAN PART A MI MA Inst N Y Y Y MBMO2 MEDICARE MISSOURI EASTERN MO MB Prof N Y Y Y MAMO1 MEDICARE MISSOURI J5 PART A MO MA Inst N Y Y Y 740 MEDICARE MISSOURI WEST - KANSAS CITY MO MB Prof N N Y Y MBKC2 MEDICARE MISSOURI WEST - KANSAS CITY MO MB Prof N N Y Y MBNE2 MEDICARE NEBRASKA NE MB Prof N Y Y Y MANE1 MEDICARE NEBRASKA J5 PART A NE MA Inst N Y Y Y MBNV2 MEDICARE NEVADA NV MB Prof N Y Y Y MANV1 MEDICARE NEVADA PART A NV MA Inst N N N N MANH1 MEDICARE NEW HAMPSHIRE PART A NH MA Inst N N Y Y MBNM2 MEDICARE NEW MEXICO NM MB Prof N Y Y Y MBNY2 MEDICARE NEW YORK EMPIRE DOWNSTATE NY MB Prof N Y Y Y MANC1 MEDICARE NORTH CAROLINA PART A NC MA Inst N Y Y Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status MBOH2 MEDICARE OHIO OH MB Prof N Y Y Y MAOH1 MEDICARE OHIO PART A OH MA Inst N Y Y Y MAOK1 MEDICARE OKLAHOMA PART A OK MA Inst N Y Y Y MBOR2 MEDICARE OREGON OR MB Prof N Y Y Y MCRPP MEDICARE PART B PAPER HCFA MB Prof N Y N N MAPA1 MEDICARE PENNSYLVANIA PART A PA MA Inst N Y Y Y MBPR2 MEDICARE PUERTO RICO PR MB Prof N Y Y Y 882 MEDICARE RAILROAD MB Prof N Y Y Y MATN1 MEDICARE TENNESSEE PART A TN MA Inst N Y Y Y MATX1 MEDICARE TEXAS PART A AND INDIAN HEALTH SERVICES TX MA Inst N Y Y Y MBTX2 MEDICARE TEXAS PART B TX MB Prof N Y Y Y MAVA1 MEDICARE VIRGINIA PART A VA MA Inst N N Y Y MBVA2 MEDICARE VIRGINIA PART B VA MB Prof N Y Y Y MAWV1 MEDICARE WEST VIRGINIA PART A WV MA Inst N N Y Y MAWI1 MEDICARE WISCONSIN PART A WI MA Inst N Y Y Y RH280 MEDICARE WPS J5 NATIONAL PART A 05901 MA Inst N Y Y Y 66058 MEDICARE Y MUCHO MAS (MMM) PR MB Prof N Y N Y 23160 MEDICO INSURANCE COMPANY AL CI Prof N Y N Y HDM04 MEDICO INSURANCE COMPANY CI Dental N N N N 23160 MEDICO INSURANCE COMPANY INST AL CI Inst N N N N 95655 MEDIGOLD AKA MOUNT CARMEL INS CI Prof N N N Y 94254 MEDIPRIME CI Prof N N N N 20039 MEDITURE CI Prof N N N N 37304 MEDIVERSAL CLAIMS ADMINISTRATION CI Prof N N N N 412MP MEDPARTNERS (CHS) CI Prof N N N N MPAS1 MEDPARTNERS ADMIN SERVICES CI Prof N N N N 35205 MEDPARTNERS ADMIN SERVICES (IN) CI Prof N N N N 62160 MEDSOLUTIONS CI Prof N N N Y 62160 MEDSOLUTIONS INST CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 82160 MEDSPAN CI Prof N N N N 39190 MEDSTAR FAMILY CHOICE CI Prof N N N N 39190 MEDSTAR FAMILY CHOICE - INST CI Inst N N N N 251MS MEDSTAR SELECT MEDICARE CHOICE CI Prof N N N N 251MS MEDSTAR SELECT MEDICARE CHOICE - INST CI Inst N N N N 11983 MEEMIC (AUTO ONLY) AM Prof N N N N 74227 MEGA LIFE HEALTH INS (STUDENT INSURANCE) CI Prof Y N N N 11983 MEMBER SELECT INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 11030 MEMIC INDEMNITY CO WC Prof N N N N MCA11 MEMORIAL CLINICAL ASSOCIATES TX CI Prof N N N N 41556 MEMORIAL HEALTH SERVICES WC Prof N N N N MHHNP MEMORIAL HERMANN HEALTH NETWORK PLAN TX CI Prof N N N N MHHNP MEMORIAL HERMANN HEALTH NETWORK PLAN INST TX CI Inst N N N N MMFMC MEMORIALCARE MEDICAL FOUNDATION CA CI Prof N N N N 36193 MEMPHIS MANAGED CARE CI Inst N N N N 36196 MEMPHIS MANAGED CARETLC HOS CI Inst N N N N 33650 MENDOTA INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N MNM01 MENNONITE MUTUAL AID CI Dental N N N N MNM99 MENNONITE MUTUAL AID CI Prof N N N N 86052 MERCY CARE PLAN ARIZONA AZ CI Prof N Y N Y MRC01 MERCY CARE PLAN ARIZONA AZ CI Prof N N N Y 86052 MERCY CARE PLAN ARIZONA - INST AZ CI Inst N N N Y 43166 MERCY COVENTRY HEALTH PLAN CI Prof N N N Y 33628 MERCY MARICOPA INTEGRATED CARE CI Prof N N N Y IP079 MERCY PHYSICIANS MEDICAL GROUP SAN DIEGO MPMG CA CI Prof N N N N 41556 MERIDIAN CONSTRUCTION PROGRAM - WC WC Prof N N N N 13189 MERIDIAN HEALTH PLAN OF ILLINOIS IL CI Prof N Y N N 13189 MERIDIAN HEALTH PLAN OF ILLINOIS - INST IL CI Inst N N N N 14145 MERIDIAN HEALTH PLAN OF IOWA IA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 14145 MERIDIAN HEALTH PLAN OF IOWA INST IA CI Inst N N N N 52563 MERIDIAN HEALTH PLAN OF MICHIGAN MI CI Prof N N N N 52563 MERIDIAN HEALTH PLAN OF MICHIGAN INST MI CI Inst N N N N 41556 MERITAGE CORPORATION WC Prof N N N N 64158 MERITAIN HEALTH AGENCY SERVICES INST CI Inst N Y N N 64157 MERITAIN HEALTH - NORTH AMERICAN CI Prof N Y N Y 64157 MERITAIN HEALTH - NORTH AMERICAN - INST CI Inst N N N Y 38232 MERITAIN HEALTH - WEYCO CI Prof N N N N 38232 MERITAIN HEALTH - WEYCO - INST CI Inst N N N N 37299 MERITAIN HEALTH FKA NYHART COMPANY CI Prof N Y N N 37299 MERITAIN HEALTH FKA NYHART COMPANY CI Inst N N N N 41124 MERITAIN HEALTH MINNEAPOLIS CI Prof N Y N Y 41124 MERITAIN HEALTH MINNEAPOLIS - INST CI Inst N N N Y 45150 MERITUS HEALTH PARTNERS CI Prof N N N N 86062 MERITUS MUTUAL HEALTH PARTNERS PPO (AZ FOUNDATION) AZ CI Prof N Y N N 41556 MESA COUNTY COLORADO WC Prof N N N N 41556 MESA COUNTY VALLEY SCHOOL DISTRICT 51 WC Prof N N N N 85035 MESA MENTAL HEALTH NM CI Inst N N N N 85035 MESA MENTAL HEALTH NM CI Prof N N N N 65113 METCARE HEALTH PLANS CI Prof N N N N 65113 METCARE HEALTH PLANS - INST CI Inst N N N N 65978 METLIFE DENTAL CI Dental N N N N 87726 METRAHEALTH NETWORK CI Prof Y N N Y 87726 METRAHEALTH NETWORK - INST CI Inst Y N N Y 87726 METRAHEALTH PLAN ADMINISTRATORS CI Prof Y N N Y 87726 METRAHEALTH RAILROAD CI Prof N N N Y 82135 METRO ALLIANCE CI Prof N N N N CX014 METRO PLUS CI Dental N N N N 13265 METRO PLUS HEALTH PLAN CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 13265 METRO PLUS HEALTH PLAN INST CI Inst N N N N J1355 METROPOLITAN COUNCIL WC Prof N N N N 10850 METROPOLITAN HEALTH PLAN CI Inst N N N N 10850 METROPOLITAN HEALTH PLAN (MEDICAID) MN MC Inst N N N N 10850 METROPOLITAN HEALTH PLAN (MEDICAID) MN MC Inst N N Y N 10850 METROPOLITAN HEALTH PLAN (MHP) MN CI Prof N Y N Y AM726 METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N J1238 METROPOLITAN TRANSIT AUTHORITY WC Prof N N N N MWP01 METROWEST HEALTH PLANPREFERRED CARE CI Prof N N N N MWS01 METROWEST STAR MEDICAID CI Prof N N N N 41556 MEXICANA AIRLINES WC Prof N N N N 74289 MHNET - MENTAL HEALTH NETWORK CI Prof N Y N Y 74289 MHNET - MENTAL HEALTH NETWORK INST CI Inst N N N N 3918A MHS WISCONSIN INST (ATYPICAL USE ONLY) WI CI Inst N N N N MICHILD MI CHILD (ELIG ONLY) MI MC N Y N N 92579 MIAMI BEHAVIORAL HEALTH FL CI Prof N N N N C1028 MIC GENERAL INSURANCE CORP AM Prof N N N N C1028 MIC PROPERTY AND CASUALTY INS CORP AM Prof N N N N 41556 MICHAEL HOGAN ASSOC WC Prof N N N N 37127 MICHAEL REESE PHYSICIANS GROUP CI Prof N N N N 37127 MICHAEL REESE PHYSICIANS GROUP CI Inst N N N N 68069 MICHIGAN FIDELIS SECURE CARE MI CI Prof N N N Y 68069 MICHIGAN FIDELIS SECURE CARE - INST MI CI Inst N N N Y A1432 MICHIGAN LABORERS HEALTH CARE FUND CI Dental N N N N BCCMI MICHIGAN MEDICAID BCCCP MI MC Prof N N Y Y 38238 MICHIGAN REGIONAL COUNCIL OF CARPENTERS EMPLOYEE BENEFIT PLAN CI Dental N N N N A1404 MICHIGAN STATE PAINTERS CI Dental N N N N 25147 MID AMERICA HEALTH (LEASED PPO) MO CI Prof N N N N 63079 MID ATLANTIC HEALTH PLAN CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 52149 MID ATLANTIC PSYCHIATRIC SERVICES (MAPSI) CI Prof N N N N 87726 MID ATLANTIC PSYCHIATRIC SERVICES, INC (MAPSI) CI Inst N N N Y C1034 MID CENTURY INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N MRIPA MID ROGUE OREGON HEALTH PLAN OR CI Prof N N N N MRIPA MID ROGUE OREGON HEALTH PLAN - INST OR CI Inst N N N N 37281 MID-AMERICA ASSOCIATES CI Prof N N N Y 37281 MID-AMERICA ASSOCIATES, INC CI Inst N N N N 22823 MID-AMERICAN BENEFITS CI Prof N N N N 63079 MID-ATLANTIC HEALTH SYSTEM CI Inst N N N N 37281 MIDAMERICA ASSOCIATES CI Prof N N N Y IP004 MIDCOAST CARE CA CI Prof N N N N 47081 MIDLANDS BENEFITS ADMIN CI Prof N N N N 47080 MIDLANDS CHOICE CI Prof N N N N 47080 MIDLANDS CHOICE CI Prof N N N N 47080 MIDLANDS CHOICE, INC CI Inst N N N N 47080 MIDLANDS HEALTH PARTNERS CI Prof N N N N 62168 MIDSOUTH ADMINISTRATIVE GROUP CI Inst N N N N J1119 MIDWEST DRYWALL WC Prof N N N N J1685 MIDWEST FAMILY MUTUAL INSURANCE CO WC Prof N N N N J1685 MIDWEST FAMILY MUTUAL INSURANCE CO (AUTO ONLY) AM Prof N N N N 61146 MIDWEST GROUP BENEFITS CI Prof N N N Y 61146 MIDWEST GROUP BENEFITS - INST CI Inst N N N N MHP77 MIDWEST HEALTH PLAN CI Prof N N N N 12T54 MIDWEST HEALTH PLAN - INST CI Inst N N N N 79480 MIDWEST SECURITIES DENTAL CI Dental N N N N MSI01 MIDWEST SECURITY ADMINISTRATION CI Prof N N N N MSI01 MIDWEST SECURITY INSURANCE COMPANY CI Prof N N N N MSI01 MIDWESTER PREFERRED CI Prof N N N N J1482 MILLARD REFRIGERATED WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status A1402 MILLRIGHTS CI Dental N N N N SC050 MILLS PENINSULA MEDICAL GROUP (SUTTER) CI Prof N N N N MPMG1 MILLS PENINSULA MEDICAL GROUP THRU DOS 3-31-2014 CA CI Prof N N N N 68241 MINNEAPOLIS PRUD CI Inst N N N N PR002 MINNEAPOLIS PRUDENTIAL BUSINESS CI Prof N N N N J1351 MINNESOTA COUNTIES INS TRUST (MCIT) WC Prof N N N N J1436 MINNESOTA DEPARTMENT OF LABOR AND INDUSTRY CLAIMS SERVICES UNIT WC Prof N N N N 41556 MISSION AVIATION FELLOWSHIP WC Prof N N N N 41556 MISSION LODGE SANITARIUM WC Prof N N N N IP014 MISSION VALLEY IPA MEDICAL GROUPLOMPOC CA CI Prof N N N N 64084 MISSISSIPPI PHYSICIANS CARE NETWORK CI Prof N N N N 37233 MISSISSIPPI PUBLIC EMPLOYEE BENEFIT TRUST MS CI Prof N N N N 37233 MISSISSIPPI PUBLIC ENTITY EMPLOYEE BENEFIT TRUST CI Inst N N N N 75203 MISSISSIPPI SELECT CI Inst N N N N 64088 MISSISSIPPI SELECT HEALTH CARE MS CI Prof N N N N 41556 MISSOULA CART CO, IN WC Prof N N N N 37275 MISSOULA COUNTY MEDICAL BENEFITS PLAN CI Inst N N N N 37275 MISSOULA COUNTY MEDICAL BENEFITS PLAN CI Prof N N N N MMS01 MISSOURI MEDICARE SELECT CI Prof N N N Y J1085 MITCHELL ENERGY AND DEVELOPMENT WC Prof N N N N J1692 MITSUI SUMITOMO INSURANCE GROUP WC Prof N N N N J1692 MITSUI SUMITOMO INSURANCE GROUP (AUTO ONLY) AM Prof N N N N J1694 MITSUI SUMITOMO INSURANCE USA INC WC Prof N N N N J1694 MITSUI SUMITOMO INSURANCE USA INC (AUTO ONLY) AM Prof N N N N 37265 MLINK CI Prof N N N N 37265 MLINK CI Inst N N N N J1622 MMIC WC Prof N N N N J1622 MMIC (AUTO ONLY) AM Prof N N N N PR065 MMM MULTI HEALTH PR CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 13350 MODA HEALTH PLAN - INST CI Inst N N N N 13350 MODA HEALTH PLAN FKA ODS HEALTH CI Prof N N N Y 41556 MODESTO IRRIGATION DISTRICT WC Prof N N N N 33373 MOLINA HEALTHCARE CALIFORNIA - ENCOUNTER CA CI Prof N N N N 26193 MOLINA HEALTHCARE OF ARIZONA AZ CI Prof N N N Y 38333 MOLINA HEALTHCARE OF CALIFORNIA CA CI Prof N Y N Y 38333 MOLINA HEALTHCARE OF CALIFORNIA INST CA CI Inst N N N Y 51062 MOLINA HEALTHCARE OF FLORIDA FL CI Prof N Y N Y 51062 MOLINA HEALTHCARE OF FLORIDA INST FL CI Inst N N N Y 20934 MOLINA HEALTHCARE OF ILLINOIS IL CI Prof N Y N Y 20934 MOLINA HEALTHCARE OF ILLINOIS INST IL CI Inst N N N Y 38334 MOLINA HEALTHCARE OF MICHIGAN MI CI Prof N Y N Y 38334 MOLINA HEALTHCARE OF MICHIGAN - INST MI CI Inst N N N N 71079 MOLINA HEALTHCARE OF MISSOURI - COMMUNITY CARE PLUS MO CI Prof N Y N Y 71079 MOLINA HEALTHCARE OF MISSOURI - INST MO CI Inst N N N Y 20676 MOLINA HEALTHCARE OF NEVADA NV CI Prof N N N N CX014 MOLINA HEALTHCARE OF NEW MEXICO (FORMERLY CIMARRON) CI Dental N N N N NM505 MOLINA HEALTHCARE OF NEW MEXICO - SALUD (09824) NM CI Prof N Y N Y 4423 MOLINA HEALTHCARE OF NEW MEXICO - SCI NM CI Prof N N N Y 20149 MOLINA HEALTHCARE OF OHIO OH CI Prof N Y N Y 81794 MOLINA HEALTHCARE OF PUERTO RICO PR CI Prof N Y N N 46299 MOLINA HEALTHCARE OF SOUTH CAROLINA SC CI Prof N Y N Y 46299 MOLINA HEALTHCARE OF SOUTH CAROLINA INST SC CI Inst N N N Y 20554 MOLINA HEALTHCARE OF TEXAS TX CI Prof N Y N Y 20554 MOLINA HEALTHCARE OF TEXAS INST TX CI Inst N N N Y SX109 MOLINA HEALTHCARE OF UTAH UT CI Prof N Y N Y 38336 MOLINA HEALTHCARE OF WA WA CI Prof N N N Y 38336 MOLINA HEALTHCARE OF WASHINGTON WA CI Prof N Y N Y 38336 MOLINA HEALTHCARE OF WASHINGTON INST WA CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status ABRI1 MOLINA HEALTHCARE OF WISCONSIN WI CI Prof N N N Y ABRI1 MOLINA HEALTHCARE OF WISCONSIN - INST WI CI Inst N N N Y 72135 MOMENTUM HEALTH SERVICES CI Prof N N N N IP095 MONARCH HEALTHCARE IPA CA CI Prof N N N N 50749 MONDIAL ASSISTANCE CI Inst N N N N 50749 MONDIAL ASSISTANCE CI Prof N N N N MONEX MONEX HEALTH CARE IL CI Prof N N N N 1759 MONITOR LIFE INS - MORGAN WHITE ADMIN CI Prof N N N N 1759 MONITOR LIFE INS - MORGAN WHITE ADMIN - INST CI Inst N N N N 66004 MONTANA MEDICAID HELP PLAN (BCBS) MT CI Prof N N N Y 13174 MONTEFIORE CMO CI Prof N N N N 13174 MONTEFIORE CONTRACT MANAGEMENT ORGANIZATION CI Inst N N N N J1424 MONTGOMERY WC Prof N N N N A0179 MONTGOMERY COUNTY TEXAS WC Prof N N N N J1530 MONUMENT ADMINISTRATORS - CORNERSTONE COMP WC Prof N N N N J1530 MONUMENT ADMINISTRATORS - ELITE COUNTRY CLUB WC Prof N N N N MMLI3 MONUMENTAL LIFE INS CO (HURST, TX) CI Prof N N N N MMLI2 MONUMENTAL LIFE INS CO (KY) CI Prof N N N N MMLIC MONUMENTAL LIFE INS CO (LITTLE ROCK, AR) CI Prof N N N N 52133 MORGAN WHITE CI Dental N N N N J1651 MORONGO BASIN TRANSIT AUTHORITY (CA) WC Prof N N N N J1651 MORONGO BASIN TRANSIT AUTHORITY (CA) (AUTO ONLY) AM Prof N N N N J1086 MORRIS MATERIAL HANDLING WC Prof N N N N J1087 MORRISON HEALTH CARE, INC WC Prof N N N N IP083 MOSAIC IPA MEDICAL GROUP CA CI Prof N N N N 41556 MOTION PICTURE AND TELEVISION FUND WC Prof N N N N MPI01 MOTION PICTURE INDUSTRY HEALTH PLAN CI Prof N N N N J1203 MOTORIST MUTUAL INSURANCE WC Prof N N N N J1203 MOTORIST MUTUAL INSURANCE (AUTO ONLY) AM Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 36111 MOTOROLA CI Inst N N N N 36111 MOTOROLA CI Prof N N N N C1028 MOTORS INSURANCE CORPORATION AM Prof N N N N 95655 MOUNT CARMEL SERVICES CI Prof N N N N TPC65 MOUNT VERNON WELFARE FUND CI Dental N N N N COMMA MOUNTAIN MEDICAL CO CI Prof N N N N 86040 MOUNTAIN STATES ADMINISTRATIVE SERVICES CI Prof N N N N 86040 MOUNTAIN STATES ADMINISTRATIVE SERVICES CI Inst N N N N 80900 MPA - CUSTOM PROVIDER NETWORK CI Prof N N N N 80900 MPA - CUSTOM PROVIDER NETWORK - INST CI Inst N N N N 37233 MPE EMPLOYEE BENEFIT SERVICES MS CI Prof N N N N 37233 MPE SERVICES INC CI Inst N N N N 37233 MPEEBT MS CI Prof N N N N 37233 MPEEBT CI Inst N N N N 95444 MPLAN, INCHEALTHCARE GROUP, LLC CI Inst N N N N 95444 MPLAN, INCHEALTHCARE GROUP, LLC CI Prof N N N N MPM16 MPM PROSPECT CA CI Prof N N N N 20572 MSA CARE GUARD CI Inst N N N N 20572 MSA CARE GUARD CI Prof N N N N 80019 MSC (MEDICAL SERVICE COMPANY) GROUP, INC CI Prof N N Y N 80019 MSC (MEDICAL SERVICE COMPANY) GROUP, INC - INST CI Inst N N Y N 5587 MSH REIMBURSEMENT (GENENTECH) CI Prof N N N N J1641 MTS WC Prof N N N N J1641 MTS (AUTO ONLY) AM Prof N N N N 45235 MULTIPLAN - GEHA - DOS THRU 12-31-2014 CI Prof N N N N 45235 MULTIPLAN - GEHA - DOS THRU 12-31-2014 - INST CI Inst N N N N 41204 MULTIPLAN BASIC PLUS CI Prof N N N N 41204 MULTIPLAN BASIC PLUS - INST CI Inst N N N N 34080 MULTIPLAN WISCONSIN PREFERRED PROVIDER NETWORK CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 34080 MULTIPLAN WISCONSIN PREFERRED PROVIDER NETWORK CI Prof N N N N J1088 MUNFORD, INC WC Prof N N N N 81883 MUNICIPAL HEALTH BENEFIT FUND CI Prof N Y N Y 81883 MUNICIPAL HEALTH BENEFIT FUND - INST CI Inst N N N N J1118 MUSCO WC Prof N N N N A1681 MUSKEGON CARE - ACCESS HEALTH PLAN MI CI Prof N N N N 37256 MUTUAL ASSURANCE ADMINISTRATORS (MAA) CI Prof N N N Y 37256 MUTUAL ASSURANCE ADMINISTRATORS (MAA) - INST CI Inst N N N Y 70491 MUTUAL GROUP (THE) (US) CI Inst N N N N CX087 MUTUAL OF OMAHA CI Dental N N N N TEMU1 MUTUAL OF OMAHA (MUST HAVE UCCI LISTED ON BACK OF ID CARD) CI Dental N N N N 71412 MUTUAL OF OMAHA INSURANCE COMPANY CI Prof N Y N Y 71412 MUTUAL OF OMAHA INSURANCE COMPANY - INST CI Inst N N N Y SDMC MUTUAL OF OMAHA MEDICARE SD CI Inst N N N N 71412 MUTUALLY PREFERRED CI Prof N N N N TEMU1 MUTUALLY PREFERRED (MUST HAVE UCCI LISTED ON BACK OF ID CARD) CI Dental N N N N 71412 MUTUALLY PREFERRED - INST CI Inst N N N N 14165 MVP HEALTH PLAN OF NY NY CI Prof N Y N Y 14165 MVP HEALTH PLAN OF NY INST NY CI Inst N N N Y 65085 NAA CI Prof N N N Y 34159 NABN CI Inst N N N N 53011 NALC HEALTH BENEFITS CI Prof N N N N 53011 NALCAFFORDABLE CI Inst N N N N L0110 NAMCIGLOBAL CARE CI Prof N N N N L0110 NAMCIGLOBAL CARE - INST CI Inst N N N N IP079 NAMM NORTH AMERICAN MEDICAL MANAGEMENT SO CALIF CA CI Prof N N N N NANPR NAMM PARTNERS INC CI Prof N N N N J1120 NAP TOOLS WC Prof N N N N DMG01 NAPERVILLE - ILLINOIS HEALTH PARTNERS (DOS BEG JAN 2012) IL CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status NHCA1 NAPERVILLE HEALTH CARE ASSOC (DOS PRIOR JAN 2012) CI Prof N N N N 58182 NAPHCARE CI Prof N N N N J1695 NATIONAL AMERICAN INSURANCE CO (NAICO) WC Prof N N N N J1695 NATIONAL AMERICAN INSURANCE CO (NAICO) (AUTO ONLY) AM Prof N N N N 53011 NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) - DENTAL CI Dental N N N N 53011 NATIONAL ASSOCIATION OF LETTER CARRIERS THRU 12312007 CI Prof N Y N N 53011 NATIONAL ASSOCIATION OF LETTER CARRIERSNALC CI Inst N N N N 56176 NATIONAL BENEFIT ADMINIS NC CI Inst N N N N 56176 NATIONAL BENEFIT ADMINISTRATORS OF NORTH CAROLINA CI Prof N N N N J1551 NATIONAL CASUALTY COMPANY WC Prof N N N N J1484 NATIONAL FARMERS UNION PROPERTY AND CASUALTY COMPANY - QBE DBA WC Prof N N N N 90956 NATIONAL FINANCIAL INSURANCE CO CI Prof N N N N 98205 NATIONAL FOUNDATION LIFE INSURANCE CO CI Prof N N N N C1028 NATIONAL GENERAL INSURANCE ONLINE, INC FORMERLY GMAC INS AM Prof N N N N 88057 NATIONAL HEALTH BENEFITS CORP (NHBC) CI Prof N N N N 88050 NATIONAL HEALTH BENEFITS CORP - NHBC02 CI Prof N N N N 75275 NATIONAL HEALTH INSURANCE COMPANY CI Prof N N N N 37232 NATIONAL HEALTHCARE EXCHANGE SERVICES CI Prof N N N N NIA11 NATIONAL IMAGING ASSOCIATES CI Prof N N N N 32620 NATIONAL INTERSTATE WC Prof N N N N 41556 NATIONAL JEWISH HEALTH WC Prof N N N N 20044 NATIONAL LIABILITY AND FIRE INSURANCE COMPANY WC Prof N N N N J1021 NATIONAL LOSS PREVENTION, INC WC Prof N N N N 52132 NATIONAL RURAL ELECTRIC COOPERATIVE ASSOC CI Prof N N N N TEMU1 NATIONAL RURAL LETTER CARRIER ASSOCIATION (MUST HAVE UCCI LISTED ON BACK OF ID CA CI Dental N N N N 71412 NATIONAL RURAL LETTER CARRIER ASSOCIATION - INST CI Inst N N N N NTA11 NATIONAL TEACHERS ASSOCIATION CI Prof N N N N 52103 NATIONAL TELECOMM COOP ASSOC (NTCA) CI Prof N Y N N 52103 NATIONAL TELECOMM COOP ASSOC (NTCA) INST CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 37120 NATIONAL TRAVELERS LIFE CI Inst N N N N 37120 NATIONAL TRAVELERS LIFE COMPANY CI Prof N N N N J1552 NATIONWIDE AFFINITY INS CO OF AMERICA (NAICOA) WC Prof N N N N J1551 NATIONWIDE AGRIBUSINESS COMPANIES WC Prof N N N N J1551 NATIONWIDE AGRIBUSINESS INS CO WC Prof N N N N 31417 NATIONWIDE HEALTH PLANS CI Prof N Y N N 31417 NATIONWIDE HEALTH PLANS - INST CI Inst N N N N J1552 NATIONWIDE INS CO OF AMERICA (NICOA) WC Prof N N N N J1552 NATIONWIDE INSURANCE COMPANIES WC Prof N N N N J1552 NATIONWIDE MUTUAL FIRE CO WC Prof N N N N J1552 NATIONWIDE MUTUAL INSURANCE COMPANY WC Prof N N N N J1552 NATIONWIDE PROPERTY AND CASUALTY INS CO WC Prof N N N N 19191 NATIVE CARE HEALTH LLC CI Prof N N N Y J1359 NBC UNIVERSAL WC Prof N N N N 75190 NCAS FAIRFAX VA VA CI Prof N N N N 75191 NCAS CHARLOTTE NC CI Prof N N N N 75191 NCAS CHARLOTTE - INST NC CI Inst N N N N 75190 NCAS FAIRFAX VA VA CI Inst N N N N 51909 NEIGHBORHOOD DOCTORS ORGANIZATION - FHN CI Prof N N N N 95123 NEIGHBORHOOD HEALTH PARTNERSHIP CI Prof N N N N 96107 NEIGHBORHOOD HEALTH PARTNERSHIP OF FLORIDA FL CI Prof N Y N Y 4293 NEIGHBORHOOD HEALTH PLAN MASS MA CI Prof N Y N Y 4293 NEIGHBORHOOD HEALTH PLAN MASS - INST MA CI Inst N N N N 5047 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND (NHPRI) RI CI Prof N Y N N 96240 NEIGHBORHOOD HEALTH PLAN RI - EXCHANGE - INST RI CI Inst N N N N 96240 NEIGHBORHOOD HEALTH PLAN RI - EXCHANGE, UNITY, INTEGRITY RI CI Prof N N N N 11325 NEIGHBORHOOD HEALTH PROVIDERS CI Prof N N N N 11325 NEIGHBORHOOD HEALTH PROVIDERS INST CI Inst N N N N 39164 NEIGHBORLY CARE PLAN CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 39164 NEIGHBORLY CARE PLAN CI Inst N N N N 66055 NETCARE LIFE AND HEALTH INSURANCE CI Prof N N N N 66055 NETCARE LIFE AND HEALTH INSURANCE (HAGATNA, CI Inst N N N N 4332 NETWORK HEALTH MASS MA CI Prof N Y N N CX014 NETWORK HEALTH MASS - DENTAQUEST MA CI Dental N N N N 4332 NETWORK HEALTH MASS INST MA CI Inst N N N N 39144 NETWORK HEALTH PLAN OF WI WI CI Prof N Y N N 39111 NETWORK HEALTH PLAN OF WISCONSIN CI Inst N N N N 77076 NETWORK PLATINUM PLUS CI Prof N N N N NDB01 NEVADA DENTAL BENEFITS CI Dental N N N N 90091 NEVADA HEALTH CO-OP NV CI Prof N N N N 86067 NEVADA HEALTH SOLUTIONS NV CI Prof N N N N 86067 NEVADACARE NV CI Prof N N N N 86067 NEVADACARE KIDS NV CI Prof N N N N 95998 NEW AVENUES INC CI Inst N N N N 95998 NEW AVENUES INC CI Prof N N N N NCHCA NEW CENTURY HEALTH - CAREPLUS CARDIOLOGY FL CI Prof N N N N NCHCA NEW CENTURY HEALTH - VISTA CARDIOLOGY - SUMMIT FL CI Prof N N N N NCHON NEW CENTURY INFUSION - CAREPLUS ONCOLOGY FL CI Prof N N N N NCHON NEW CENTURY INFUSION - VISTA ONCOLOGY FL CI Prof N N N N 66893 NEW ENGLAND CI Inst N N N N 43351 NEW ENGLAND DENTAL ADMINISTRATORS CI Dental N N N N 76031 NEW ERA EMPLOYEE WELFARE BENEFIT PLAN TRUST CI Inst N N N N 76031 NEW ERA EMPLOYEE WELFARE BENEFIT PLAN TRUST CI Prof N N N N 75281 NEW ERA LIFE CI Inst N N N N
75281 NEW ERA LIFE CI Prof N Y N N 68069 NEW HAMPSHIRE HEALTHY FAMILIES NH CI Prof N Y N Y 22603 NEW JERSEY CARPENTERS HEALTH FUND CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 12122 NEW JERSEY MANUFACTURING WC Prof N N N N 45129 NEW MEXICO HEALTH CONNECTIONS NM CI Prof N N N N 45129 NEW MEXICO HEALTH CONNECTIONS INST NM CI Inst N N N N TPC66 NEW ROCHELLE EMPLOYEES L663 CI Dental N N N N TPC67 NEW ROCHELLE FUSE WELFARE FUND CI Dental N N N N C1028 NEW SOUTH INSURANCE CO AM Prof N N N N 84141 NEW WEST HEALTH PLAN CI Prof N N N N 84141 NEW WEST HEALTH PLAN HOS CI Inst N N N N 38332 NEW WORLD CLAIMS SERVICE CI Prof N N N N 38332 NEW WORLD CLAIMS SERVICES CI Inst N N N N 66915 NEW YORK LIFE INSURANCE CO CI Inst N N N N 11334 NEW YORK NETWORK MANAGEMENT NY CI Prof N N N N 48186 NEW YORK PRESBYTERIAN COMMUNITY HEALTH PLAN CI Inst N N N N 48186 NEW YORK PRESBYTERIAN COMMUNITY HEALTH PLAN NY CI Prof N N N N 24819 NEW YORK PRESBYTERIAN SYSTEM SELECT HEALTH NY CI Inst N N N N 24819 NEW YORK PRESBYTERIAN SYSTEM SELECT HEALTH NY CI Prof N N N N NYT01 NEW YORK STATE TEAMSTERS UNION CI Dental N N N N 69821 NEXT LEVEL HEALTH PARTNERS (MEDICAID) CI Prof N N N N 69821 NEXT LEVEL HEALTH PARTNERS (MEDICAID) - INST CI Inst N N N N 38225 NGS AMERICAN (CORESOURCE) CI Prof N N N Y 38225 NGS AMERICAN (CORESOURCE) - INST CI Inst N N N Y 38225 NGS CORESOURCE CI Prof N N N N 62124 NHC HEALTH BENEFIT PLAN CI Inst N N N N CX014 NHP COMMONWEALTH CARE - DENTAQUEST MA CI Dental N N N N 81264 NIPPON LIFE INSURANCE CO CI Prof N Y N Y 81264 NIPPON LIFE INSURANCE CO - INST CI Inst N N N Y 81264 NIPPON LIFE INSURANCE DENTAL CI Dental N N N N TPC68 NJDCEA WELFARE FUND CI Dental N N N N 35197 NNPN CONSECO HOS CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status PDT01 NOBLE AMA SELECT IPA CA CI Prof N N N N IP080 NOBLE COMMUNITY CA CI Prof N N N N OSM01 NOBLE MID OC ORANGE COUNTY (HEALTH SMART) CA CI Prof N N N N J1360 NORDSTROM, INC WC Prof N N N N J1453 NORGUARD INSURANCE COMPANY - GUARD DBA WC Prof N N N N 65085 NORTH AMERICA ADMINISTRATORS (NAA) CI Prof N Y N Y 65085 NORTH AMERICA ADMINISTRATORS (NAA) - INST CI Inst N N N Y 64157 NORTH AMERICAN ADMINISTRATORS CI Prof N Y N N 34159 NORTH AMERICAN BENEFITS NETWORK CI Dental N N N N 34159 NORTH AMERICAN BENEFITS NETWORK CI Inst N N N N 34159 NORTH AMERICAN BENEFITS NETWORK CI Prof N N N N E3510 NORTH AMERICAN MEDICAL MANAGEMENT NORTHERN CALIFORNIA CA CI Prof N N N N 93100 NORTH AMERICAN MEDICAL MANAGEMENT TEXAS TX CI Prof N N N N 64157 NORTH AMERICAN PREFERRED CI Prof N N N N 37314 NORTH BROWARD HOSPITAL DISTRICT CI Prof N N N N NCLME NORTH CAROLINA LME REFERRALS - MEDICAID NC MC Prof N N Y N 41556 NORTH CLACKAMAS SCHOOL DISTRICT NO 12 WC Prof N N N N 41556 NORTH COUNTY TRANSIT DISTRICT WC Prof N N N N 320 NORTH DAKOTA WORKFORCE SAFETY AND INS ND CI Prof N N Y N 17516 NORTH SHORE - LIJ (HEALTHFIRST) CI Prof N N N N 46227 NORTH SHORE - LIJ CARECONNECT INSURANCE CO CI Prof N N N N 36392 NORTH SUBURBAN ASSOCIATED PHYS CI Inst N N N N 36392 NORTH SUBURBAN ASSOCIATED PHYS CI Prof N N N N NTX11 NORTH TEXAS HEALTHCARE NETWORK TX CI Prof N N N N PROSP NORTH WEST ORANGE COUNTY MEDICAL GROUP CA CI Prof N N N N 2027 NORTHEAST DELTA DENTAL (ME-NH-VT) CI Dental N N N N 58169 NORTHEAST GEORGIA HEALTH SERVICES CI Prof N N N N 13376 NORTHEAST GEORGIA HEALTH SYSTEM CI Inst N N N N 38238 NORTHERN CALIFORNIA SHEET METAL WORKERS HEALTH CARE PLAN CA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1923 NORTHERN CLAIMS MANAGEMENT WC Prof N N N N 41556 NORTHERN COLORADO SCHOOL DISTRICTS WORKERS' COMPENSATION POOL WC Prof N N N N 36347 NORTHERN ILLINOIS HEALTH PLAN IL CI Prof N N N N 88027 NORTHERN NEVADA TRUST FUND (BPA) NV CI Prof N N N N 88027 NORTHERN NEVADA TRUST FUND (BPA) - INST NV CI Inst N N N N C1031 NORTHLAND AUTO AM Prof N N N N 48026 NORTHSHORE PHYSICIANS ASSOCIATES CI Prof N N N N 48026 NORTHSHORE PHYSICIANS ASSOCIATES INST CI Inst N N N N 52627 NORTHSTAR ADVANTAGE HMO (MHP) MN CI Prof N N N Y 91060 NORTHWEST ADMINISTRATORS CI Dental N N N N 36234 NORTHWEST COMMUNITY HEALTH PARTNERS CI Inst N N N N 36234 NORTHWEST COMMUNITY HEALTH PARTNERS CI Prof N N N N J1361 NORTHWEST INSURANCE WC Prof N N N N J1361 NORTHWEST INSURANCE (AUTO ONLY) AM Prof N N N N NPN11 NORTHWEST PHYSICIANS NETWORK CI Prof N N N N NPN11 NORTHWEST PHYSICIANS NETWORK INST CI Inst N N N N 36346 NORTHWEST SUBURBAN IPA (ILLINOIS) CI Prof N N N N 36346 NORTHWEST SUBURBAN IPA (ILLINOIS) CI Inst N N N N J1089 NORWOOD WC Prof N N N N 16114 NOVA CASUALTY CO CI Inst N N N N 16114 NOVA CASUALTY CO CI Prof N N N N 41556 NOVA DEALERSHIP ADVANTAGE PROGRAM - WC WC Prof N N N N 41556 NOVA ELITE COMP PROGRAM WC Prof N N N N 16644 NOVA HEALTHCARE ADMINISTRATORS AZEROS CI Prof N Y N Y 16644 NOVA HEALTHCARE ADMINISTRATORS - DENTAL CI Dental N N N N 16644 NOVA HEALTHCARE ADMINISTRATORS - INST CI Inst N N N N 41556 NOVA METALS ADVANTAGE PLUS PROGRAM - WC WC Prof N N N N J1056 NOVA PRO RISK SOLUTIONS WC Prof N N N N 6226 NOVANET CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 71080 NOVASYS AR CI Prof N Y N N 71080 NOVASYS HEALTH NETWORK INST AR CI Inst N N N N NTX11 NTHN TX CI Prof N N N N 41556 NUEVO ENGINEERING WC Prof N N N N 91136 NW IRONWORKERS HEALTH SECURITY TRUST FUND INST CI Inst N N N N 91136 NW IRONWORKERS HLTH SECURITY TRUST FUND CI Prof N N N N 91136 NW ROOFERS EMPLOYERS HEALTH SECURITY INST CI Inst N N N N 91136 NW ROOFERS EMPLOYERS HLTH SECURITY TRUST FUND CI Prof N N N N 91136 NW TEXTILE PROCESSORS CI Inst N N N N 91136 NW TEXTILE PROCESSORS GRP F14 CI Prof N N N N TPC69 NY OIL HEAT ASSOCIATION CI Dental N N N N TPC70 NY STATE NURSES - WESTCHESTER CI Dental N N N N CX014 NY-PRESBYTERIAN COMMUNITY HEALTH PLAN CI Dental N N N N 14142 NYC DEPARTMENT OF HEALTH (ADAP) CI Prof N N N N 14142 NYC DEPARTMENT OF HEALTH (ADAP) - INST CI Inst N N N N TPC71 NYC MUNICIPAL PLUMBERPIPEFITTERS CI Dental N N N N TPC72 NYC RETIREES WELFARE FUND CI Dental N N N N TPC73 NYC STEAMFITTERS CI Dental N N N N TPC74 NYC STEAMFITTERS RETIREES CI Dental N N N N TPC75 NYDCC WELFARE FUND CI Dental N N N N 45052 NYSIF NY WC Prof N N N N J1670 O'REILLY AUTO PARTS WC Prof N N N N J1670 O'REILLY AUTO PARTS (AUTO ONLY) AM Prof N N N N 20044 OAK RIVER INSURANCE COMPANY (MEMBER OF BHHC) WC Prof N N N N NAOAK OAK WEST PRIMARY PHYSICIANS ASSOCIATION CI Inst N N N N NAOAK OAK WEST PRIMARY PHYSICIANS ASSOCIATION CI Prof N N N N IP016 OAKVIEW MEDICAL GROUP CA CI Prof N N N N 72127 OCHSNER HEALTH PLAN LA CI Prof N N N N 72127 OCHSNER HEALTH PLAN INST LA CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status L0140 OCULAR BENEFITS CI Prof N N N N 72087 OFFICE OF GROUP BENEFITS LOUISIANA LA BL Prof N N N N 13310 OFFICE OF THE ADMINISTRATOR DC CI Prof N N N N 14163 OHANA HEALTH PLAN HI CI Prof N Y N N 14163 OHANA HEALTH PLAN - INST HI CI Inst N N N N OAC01 OHIO AFSCME CARE PLAN CI Dental N N N N OAC99 OHIO AFSCME CARE PLAN OH CI Prof N N N N 24074 OHIO CASUALTY GROUP WC Prof N N N N 34189 OHIO HEALTH CHOICE PPO OH CI Prof N N N N 34189 OHIO HEALTH CHOICE, PPO CI Inst N N N N 74431 OHIO PPO CONNECT OH CI Prof N N N N 74431 OHIO PPO CONNECT - INST OH CI Inst N N N N 24147 OLD REPUBLIC INSURANCE CO WC Prof N N N N OLRMC OLOLRMC UNINSURED PATIENT SERVICES PROGRAM LA CI Prof N N N N 91150 OLYMPIC HLTH MANAGEMENT SYSTEMS CI Prof N N N N 65074 OLYMPUS MANAGED HEALTH CARE CI Prof N N N N 68037 OMNI MEDICORE HP CI Prof N N N N MDCOR OMNI IPA MEDCARE HP CI Prof N N N N IP088 OMNICARE MEDICAL GROUP (CA) CA CI Prof N N N N OMN02 OMNICARE MEDICAL GROUP (OMNI) CA CI Prof N N N N ISL11 ON INSURANCE SERVICE OF LUBBOCK CI Prof N N N N 20621 ONE BEACON WC Prof N N N N C1026 ONE BEACON INSURANCE - AUTO AM Prof N N N N 22321 ONE CALL MEDICAL CI Prof N N N N 22321 ONE CALL MEDICAL INST CI Inst N N N N 95379 ONE HEALTH PLAN OF CA HOSPITAL CI Inst N N N N 95412 ONE HEALTH PLAN OF CO HOSPITAL CI Inst N N N N 95412 ONE HEALTH PLAN OF COLORADO CO CI Prof N N N N 95388 ONE HEALTH PLAN OF IL HOSPITAL CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 95388 ONE HEALTH PLAN OF ILLINOIS IL CI Prof N N N N 95415 ONE HEALTH PLAN OF TEXAS TX CI Prof N N N N 51459 ONE HEALTH PLAN OF TX HOSPITAL CI Inst N N N N 96559 ONE HEALTH PLANOF GA HOSPITAL CI Inst N N N N 52149 ONENET PPO CI Prof N N N N 52149 ONENET PPO INST CI Inst N N N N TPC76 OPEIU -DC CI Dental N N N N 91136 OPERATING ENGINEERS LOCALS 302 612 HEALTH CI Inst N N N N 91136 OPERATING ENGINEERS LOCALS 302 612 HLTH SECURITY FUND CI Prof N N N N 56190 OPTICARE EYE HEALTH NETWORK CI Prof N N N Y 54154 OPTIMA HEALTH PLAN CI Inst N N N N 54154 OPTIMA HEALTH PLAN CI Prof N Y N Y 87726 OPTIMUM CHOICE INC CI Prof N N N Y 51248 OPTIMUM CHOICE INC HOSPITAL CI Inst N N N N 52151 OPTIMUM CHOICE OF PENNSYLVANIA PA CI Prof N N N N 52152 OPTIMUM CHOICE OF THE CAROLINAS CI Prof N N N N 87726 OPTIMUM CHOICE OF THE CAROLINAS, INC (OCCI) CI Inst N N N Y 87726 OPTIMUM CHOICE, INC (OCI) CI Inst N N N Y 20133 OPTIMUM HEALTHCARE INC CI Inst N N N Y 20133 OPTIMUM HEALTHCARE INC CI Prof N N N Y 37125 OPTION SERVICES GROUP CI Inst N N N N LIFE1 OPTUM MEDICAL NETWORK AZ, UT (FORMERLY LIFEPRINT NETWORK) CI Inst N N N N LIFE1 OPTUM MEDICAL NETWORK AZ, UT (FORMERLY LIFEPRINT NETWORK) CI Prof N N Y N 41194 OPTUMHEALTH COMPLEX MEDICAL CONDITIONS CI Prof N N N N 41194 OPTUMHEALTH COMPLEX MEDICAL CONDITIONS - INST CI Inst N N N N 41161 OPTUMHEALTH PHYSICAL HEALTH (ACN) CI Prof N N N N OHMSP OREGON HEALTH MANAGEMENT SERVICES (OHMS) OR CI Prof N N N N 45332 OREGONS HEALTH CO-OP (2015) OR CI Prof N N N N TPC77 ORGANIZATION OF STAFF ANALYSTS CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1090 ORICA, INC WC Prof N N N N 13383 ORTHONET - AETNA CI Prof N N N N 13383 ORTHONET - AETNA - INST CI Inst N N N N 25681 ORTHONET - HEALTHNET CI Prof N N N N 13381 ORTHONET CORPORATION CI Prof N N N N 13381 ORTHONET CORPORATION - INST CI Prof N N N N 58204 ORTHOPEDIX NETWORK INC - HUMANA - OHU CI Prof N N N N 58204 ORTHOPEDIX NETWORK INC - VISTA - OVI CI Prof N N N N OSCAR OSCAR INSURANCE CO OF TEXAS CI Prof N N N N OSCAR OSCAR INSURANCE CO OF TEXAS - INST CI Inst N N N N OSFMC OSF CARE ADVANTAGE CI Prof N N N N 62171 OSF HEALTHPLANS IL CI Prof N N N N CLF01 OSMA HEALTH (FORMERLY PLICO OKLAHOMA) CI Dental N N N N CLFR2 OSMA HEALTH - C L FRATES AND COMPANY CI Prof N N N N 36365 OUR LADY OF THE RESURRECTION IL CI Inst N N N N 36365 OUR LADY OF THE RESURRECTION PHYSICIAN ASSOCIATION CI Prof N N N N 41556 OUTRIGGER LODGING WC Prof N N N N 41556 OVERHILL FARMS, INC WC Prof N N N N 6111 OXFORD HEALTH CI Prof Y Y N Y OXHTH OXFORD HEALTH CI Prof Y Y N Y 6111 OXFORD HEALTH - INST CI Inst Y N N Y J1913 PACIFIC COMPENSATION INS CO WC WC Prof N N N N J1916 PACIFIC GAS AND ELECTRIC - 115 WC WC Prof N N N N 41556 PACIFIC HYDROTECH CO WC Prof N N N N C1040 PACIFIC INSURANCE COMPANY LTD AM Prof N N N N PCFCI PACIFIC IPA CI Prof N N N N IP101 PACIFIC LUMBER COMPANY PALCO CA CI Prof N N N N 41556 PACIFIC LUMBER COMPANY (MARATHON) WC Prof N N N N J1364 PACIFIC MOTOR COMPANY WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1364 PACIFIC MOTOR COMPANY (AUTO ONLY) AM Prof N N N N 41556 PACIFIC SPECIALTY INSURANCE WC Prof N N N N 33053 PACIFICARE BEHAVIORAL HEALTH CI Prof N N N N HM012 PACIFICARE ENCOUNTERS CI Prof N N N N COFHP PACIFICARE FHP COLORADO CO CI Prof N N N Y 95964 PACIFICARE OF ARIZONA HMO AZ CI Inst N N N Y 95964 PACIFICARE OF ARIZONA HMO CLAIMS AZ CI Prof N Y N Y 95999 PACIFICARE OF ARIZONA PPO AZ CI Prof N Y N Y 95959 PACIFICARE OF CALIFORNIA HMO CLAIMS CA CI Prof N Y N Y 95959 PACIFICARE OF CALIFORNIA HMO CA CI Inst N N N Y 95999 PACIFICARE OF CALIFORNIA PPO CA CI Prof N Y N Y COPHS PACIFICARE OF COLORADO HMO CO CI Inst N N N N 95962 PACIFICARE OF COLORADO HMO CO CI Prof N Y N Y 95999 PACIFICARE OF COLORADO PPO CO CI Prof N Y N Y 95959 PACIFICARE OF OKLAHOMA HMO CLAIMS OK CI Prof N Y N Y 95959 PACIFICARE OF OKLAHOMA HMO OK CI Inst N N N Y 95999 PACIFICARE OF OKLAHOMA PPO OK CI Prof N Y N Y 95959 PACIFICARE OF OREGON HMO CLAIMS OR CI Prof N Y N Y 95959 PACIFICARE OF OREGON HMO OR CI Inst N N N Y 95999 PACIFICARE OF OREGON PPO OR CI Prof N Y N Y 95959 PACIFICARE OF TEXAS HMO TX CI Inst N N N Y 95959 PACIFICARE OF TEXAS HMO CLAIMS TX CI Prof N Y N Y 95999 PACIFICARE OF TEXAS PPO TX CI Prof N Y N Y 95959 PACIFICARE OF WASHINGTON HMO WA CI Inst N N N Y 95959 PACIFICARE OF WASHINGTON HMO CLAIMS WA CI Prof N Y N Y 95999 PACIFICARE OF WASHINGTON PPO WA CI Prof N Y N Y 95999 PACIFICARE PPO - ALL STATES CI Inst N N N Y 20416 PACIFICSOURCE COMMUNITY - MEDICAID OR CI Prof N Y N N 20416 PACIFICSOURCE COMMUNITY - MEDICAID - INST OR CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 93029 PACIFICSOURCE HEALTH PLAN OR CI Prof N Y N Y 93029 PACIFICSOURCE HEALTH PLAN - DENTAL CI Dental N N N N 93029 PACIFICSOURCE HEALTH PLAN - INST OR CI Inst N N N Y 20377 PACIFICSOURCE MEDICARE OR CI Prof N N N Y 20377 PACIFICSOURCE MEDICARE - INST OR CI Inst N N N Y 37287 PAI CI Inst N N N N TPC78 PAINTERS LOCAL 155 WELFARE FUND CI Dental N N N N TPC79 PAINTING INDUSTRY INSURANCE CI Dental N N N N 41556 PAJARO VLY COMNTY HEALTH TRUST WC Prof N N N N J1475 PALADIN MANAGED CARE SERVICES, INC WC Prof N N N N 37268 PALLADIAN EAP FKA PRISM CI Prof N N N N 41556 PALO ALTO MEDICAL FOUNDATION WC Prof N N N N 4218 PAN AMERICAN LIFE INSURANCE GROUP CI Prof N N N N J1091 PAPA JOHN'S INTERNATIONAL INC WC Prof N N N N PAPER PAPER CLAIMS PROFESSIONAL CI Prof N N N N J1001 PARADIGM WC Prof N N N N 58174 PARAGON BENEFITS INC CI Inst N N N N PARHC PARAMOUNT HEALTH CARE CI Prof N N N Y 58204 PARITY SOLUTIONS CI Prof N N N N J1365 PARK DISTRICT RISK MANAGEMENT ASSOCIATION (PDRMA) WC Prof N N N N 66917 PARKLAND COMMUNITY HEALTH PLAN - AETNA CI Prof N Y N Y 66917 PARKLAND COMMUNITY HEALTH PLAN - AETNA - INST CI Inst N N N N 56152 PARTNERS NATIONAL HEALTH PLANS OF NORTH CAROLINA NC CI Prof N N N Y PHP02 PARTNERSHIP HEALTH PLAN CA CI Prof N Y Y Y 41556 PAS COFFEE ROASTERS WC Prof N N N N J1643 PASADENA UNIFIED SCHOOL DISTRICT (CA) WC Prof N N N N J1643 PASADENA UNIFIED SCHOOL DISTRICT (CA) (AUTO ONLY) AM Prof N N N N 97652 PASSPORT ADVANTAGE CI Prof N N N N 97652 PASSPORT ADVANTAGE - INST CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CX014 PASSPORT FFS - KY - DENTAL CI Dental N N N N 61129 PASSPORT HEALTH PLAN KY CI Prof N Y N Y CX014 PASSPORT HEALTH PLAN - DENTAL CI Dental N N N N 61129 PASSPORT HEALTH PLAN - INST CI Inst N N N N PPN11 PATIENT PHYSICIAN NETWORK CI Prof N N N N PAN01 PATIENT ACCESS NETWORK FOUNDATION CI Prof N N N N 10525 PATIENT ADVOCATES LLC CI Prof N N N N PPN11 PATIENT-PHYSICIAN NETWORK (PPN) CI Prof N N N N 26335 PATIENTPAY INC - PATIENT PAY CI Prof N N N N 41556 PATTERSON BRO LIGHT WC Prof N N N N PRW99 PAVERS ROAD BUILDERS WELFARE FUND CI Prof N N N N 27048 PAYER FUSION (INCL GLOBALITES) CI Prof N N N N 27048 PAYER FUSION (INCL GLOBALITES) - INST CI Inst N N N N 37210 PAYNET, INC CI Prof N N N N 95885 PCA HEALTH PLANS OF TEXAS TX CI Prof N N N N 61101 PCA STAR MEDICAID CI Prof Y N N N 65000 PCMCICSL ALLERGY CI Prof N N N N 65007 PCMCICSL CHIROPRACTIC CI Prof N N N N 65001 PCMCICSL DERMATOLOGY CI Prof N N N N 65003 PCMCICSL GASTROENTEROLOGY CI Prof N N N N 65002 PCMCICSL PODIATRY CI Prof N N N N 68049 PEACH STATE HEALTH PLAN GA MC Prof N Y N Y 68049 PEACH STATE HEALTH PLAN - INST GA MC Inst N N N Y 20472 PEDIATRIC ASSOCIATES CI Prof N N N N J1423 PEERLESS WC Prof N N N N J1092 PEG DISCOVER RE WC Prof N N N N J1054 PEG DISCOVER RE( FOOOD MERCHANT) WC Prof N N N N J1924 PEGASUS RISK MANAGEMENT CA WC WC Prof N N N N J1093 PEGI-FAMILY DINING WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 37086 PEKIN INSURANCE CI Prof N N N Y 37086 PEKIN INSURANCE - INST CI Inst N N N N J1573 PENN MILLERS INSURANCE CO WC Prof N N N N J1573 PENN MILLERS INSURANCE CO (AUTO ONLY) AM Prof N N N N 41556 PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY WC Prof N N N N 41556 PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANY WC Prof N N N N J1439 PENNSYLVANIA MANUFACTURING ASSOCIATES WC Prof N N N N J1466 PEOPLE 20 WC Prof N N N N 52133 PEOPLES BENEFIT LIFE INSURANCE COMPANY CI Dental N N N N 72126 PEOPLES HEALTH NETWORK CI Prof N Y N Y 72126 PEOPLES HEALTH NETWORK INST CI Inst N N N N J1940 PERFORMANCE CONTRACTING WC WC Prof N N N N J1623 PERMA WC Prof N N N N J1623 PERMA (AUTO ONLY) AM Prof N N N N TLX74 PERSONAL CHOICE (PA) CI Dental N N N N 95397 PERSONAL INSURANCE ADMINISTRATORS (PIA) CI Prof N Y N N 25146 PERSONAL PHYSICIAN CARE CI Prof N Y N Y 41556 PETALUMA VALLEY HOSPITAL WC Prof N N N N 41556 PFLUGERVILLE ISD WC Prof N N N N 63088 PHA ADMIN SERV, PRIME HEALTH OF ALABAMA CI Inst N N N N J1570 PHARMACIST MUTUAL INSURANCE CO WC Prof N N N N J1570 PHARMACIST MUTUAL INSURANCE CO (AUTO ONLY) AM Prof N N N N 72099 PHCS CLAIMS FKA AMERICAN LIFECARE CI Inst N N N N 72099 PHCS CLAIMS FKA AMERICAN LIFECARE CI Prof N N N N 13306 PHCS SAVILITY CI Prof N N N N 13306 PHCS SAVILITY INST CI Inst N N N N J1094 PHH FLEETAMERICA WC Prof N N N N PHIF4 PHIFER WIRE PRODUCTS, INC CI Prof N N N N 67814 PHOENIX AMERICAN LIFE (PAL) CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 67814 PHOENIX AMERICAN LIFE (PAL) CI Prof N N N N 55649 PHOENIX CHOICE CI Prof N N N N 55649 PHOENIX CHOICE - INST CI Inst N N N N 3443 PHOENIX HEALTH PLAN (ABRAZO ADVANTAGE) AZ CI Prof N N N N 3443 PHOENIX HEALTH PLAN (ABRAZO ADVANTAGE) - INST AZ CI Inst N N N N 3440 PHOENIX HEALTH PLAN (MEDICAID) AZ CI Prof N N N N 22729 PHOENIX HEALTH PLAN (MEDICARE - ABRAZO) AZ CI Prof N N N N 22729 PHOENIX HEALTH PLAN (MEDICARE - ABRAZO) - INST AZ CI Inst N N N N PHP01 PHOENIX HEALTH PLAN (PHP) CLAIMS ONLY CI Dental N N N N 67814 PHOENIX HOME LIFE CI Prof N N N N 67814 PHOENIX HOME LIFE - INST CI Inst N N N N 67814 PHOENIX MUTUAL LIFE CI Prof N N N N 67814 PHOENIX MUTUAL LIFE - INST CI Inst N N N N 37330 PHP MID-MICHIGAN (NETWORK) MI CI Prof N Y N N 12399 PHP OF NORTHERN INDIANA IN CI Prof N N N Y 12399 PHP OF NORTHERN INDIANA INST IN CI Inst N N N Y 91171 PHYSICANS OF SOUTHWEST WASHINGTON CI Inst N N N N 58204 PHYSICIAN ASSOCIATES OF LOUSIANA CI Prof N N N N PHPMD PHYSICIAN HEALTH PARTNERS MEDICARE CO CI Prof N N N N PDT01 PHYSICIAN'S DATA TRUST CA CI Prof N N N N 28943 PHYSICIANS ACCOUNTABLE CARE ORG - STONES RIVER IPA CI Prof N N N N 57098 PHYSICIANS CARE NETWORK CI Prof N N N N 38265 PHYSICIANS CARE NETWORK (PCHP) CI Prof N N N N 36345 PHYSICIANS CARE NETWORK (ROCKFORD, IL) CI Prof N N N N PCN12 PHYSICIANS CARE NETWORKPOLYCLINIC CI Prof N N N N 36345 PHYSICIANS CARE ROCKFORD,IL CI Inst N N N N 37136 PHYSICIANS HEALTH ASSOC OF IL CI Inst N N N N 37136 PHYSICIANS HEALTH ASSOCIATION OF ILLINOIS CI Prof N N N N PHCS1 PHYSICIANS HEALTH CHOICE CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status PHCS1 PHYSICIANS HEALTH CHOICE - INST CI Inst N N N N 20398 PHYSICIANS HEALTH COLLABORATIVE CI Prof N N N N 20398 PHYSICIANS HEALTH COLLABORATIVE - INST CI Inst N N N N MHCM2 PHYSICIANS HEALTH NETWORK (PHN) CI Prof N N N N TLX05 PHYSICIANS HEALTH PARTNERS CDOC (CO) CI Dental N N N N 87726 PHYSICIANS HEALTH PLAN MO CI Prof Y N N Y 12399 PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA IN CI Prof N Y N Y 65031 PHYSICIANS HEALTHCARE PLANS CI Prof N N N N PHIPA PHYSICIANS HEALTHWAYS IPA CI Prof N N N N 47027 PHYSICIANS MUTUAL INSURANCE COMPANY CI Inst N N N N 47027 PHYSICIANS MUTUAL INSURANCE COMPANY CI Prof N Y N Y PHD03 PHYSICIANS NETWORK OF COLORADO SPRINGS CI Prof N N N N 91171 PHYSICIANS OF SOUTHWEST WASHINGTON CI Prof N N N N CX014 PHYSICIANS PLUS INSURANCE CO, PRIMECARE, WISCONSIN STATE EMPLOYEES CI Dental N N N N 39156 PHYSICIANS PLUS INSURANCE CORP (PPIC) CI Prof N Y N N 39156 PHYSICIANS PLUS INSURANCE CORP INST CI Inst N N N N 56151 PIEDMONT ADMINISTRATORS CI Inst N N N N 56151 PIEDMONT ADMINISTRATORS EMPLOYERS CI Prof N N N N 251PD PIEDMONT WELLSTAR HEALTH PLAN CI Prof N Y N Y J1369 PIER 1 INC USA WC Prof N N N N BHP01 PIH HEALTH (FORMERLY BRIGHT HEALTH) CA CI Prof N N N N 41556 PIMA COUNTY WC Prof N N N N TPC80 PINE BUSH TEACHERS CI Dental N N N N 24735 PINNACLE CLAIMS MANAGEMENT CI Prof N N N N 24735 PINNACLE CLAIMS MANAGEMENT - INST CI Inst N N N N 95271 PINNACLE MEDICAL GROUP CA CI Prof N N N N CCIA1 PINNACOL ASSURANCE CO CI Prof N N N N 84109 PINNACOL ASSURANCE - INST CO CI Inst N N N N IP104 PIONEER MEDICAL GROUP CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status PIP01 PIPE TRADES INDUSTRY HEALTH WELFARE FUND CI Dental N N N N PIP99 PIPE TRADES INDUSTRY HEALTH WELFARE FUND CI Prof N N N N PIP98 PIPEFITTERS 597 IL CI Prof N N N N PIP02 PIPEFITTERS 597 (CHICAGO, IL) CI Dental N N N N 59700 PIPEFITTERS LOCAL 597 CI Prof N N N N 73074 PIPELINE INDUSTRY BENEFIT CI Prof N N N N 73074 PIPELINE INDUSTRY BENEFIT FUND (TULSA, OK) CI Inst N N N N 37224 PITTMAN AND ASSOCIATES CI Prof N Y N Y 37224 PITTMAN AND ASSOCIATES - INST CI Inst N N N Y 41556 PLAINVIEW ISD WC Prof N N N N 66020 PLAN DE BIENESTAR UTM-PRSSA PR CI Prof N N N N 66063 PLAN DE SALUD HOSPITAL MENONITA PR CI Prof N N N N PLAN PLAN VISTA CI Inst N N N N SC886 PLANNED ADMINISTRATORS INC - PAI - BCBSSC SC CI Prof N N N N 37287 PLANNED ADMINISTRATORS, INC CI Inst N N N N 37287 PLANNED ADMINISTRATORS, INC CI Prof N Y N Y PCM99 PLASTERERS CEMENT MASONS HEALTH WELFARE FUND CI Prof N N N N TPC81 PLASTERERS' AND CEMENT MASONS L262 CI Dental N N N N 41556 PLOTT HEALTH CARE WC Prof N N N N 333 PLUMBERS AND PIPEFITTERS LOCAL 33 IA CI Prof N Y Y N PR059 PMC MEDICARE CHOICE GOVT HEALTH PLAN PR CI Prof N N N N PMGSJ PMG OF SAN JOSE CA CI Prof N N N N 58204 PODI CARE MANAGED CARE CI Prof N N N N POD1S PODIATRY FIRST CI Prof N N N N 59324 PODIATRY NETWORK FLORIDA FL CI Prof N N N N 59324 PODIATRY NETWORK FLORIDA INST FL CI Inst N N N N 59069 POE BROWN CI Prof N N N N 32680 POLY AMERICA MEDICAL BENEFITS PLAN CI Prof N Y N N 32680 POLY AMERICA MEDICAL BENEFITS PLAN - INST CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41556 POLY-AMERICA WC Prof N N N N 16111 POMCO CI Prof N N N Y 16111 POMCO INST CI Inst N N N N 41556 PONDEROSA LANDSCAPE WC Prof N N N N TPC82 PORT CHESTER TEACHERS ASSOC WF CI Dental N N N N J1627 PORT OF OAKLAND (CA) WC Prof N N N N J1627 PORT OF OAKLAND (CA) (AUTO ONLY) AM Prof N N N N TPC83 PORT WASHINGTON TEACHERS ASSOC CI Dental N N N N 6161 PPHN PENNSYLVANIA PREFERRED HEALTH NETWORK PA CI Prof N N N N PPN11 PPN CI Prof N N N N PPN11 PPN CI Prof N N N N MPM18 PPN PIONEER HEALTHY FAMILIES BY MEDPOINT CA CI Prof N N N N MPM18 PPN PIONEER MEDI-CAL BY MEDPOINT CA CI Prof N N N N 72148 PPO PLUS CI Prof N N N N 72148 PPO PLUS - INST CI Inst N N N N PPOM1 PPOM MI CI Prof N N N N 4334 PRACTICARE, INC CI Prof N N N N J1118 PRAIRIE MEADOWS WC Prof N N N N 36373 PRAIRIE STATES ENTERPRISES, INC CI Prof N N N Y 16105 PRE-PAID HEALTHPLAN CI Prof N N N N 53476 PREFERRED BENEFIT ADMINISTRATORS CI Inst N N N N 53476 PREFERRED BENEFIT ADMINISTRATORS CI Prof N N N N 61665 PREFERRED BENEFITS ADMINISTRATOR (PBA) CI Prof N N N N 16112 PREFERRED CARE CI Dental N N N N SX089 PREFERRED CARE NY CI Prof N N N N PCNY0 PREFERRED CARE NEW YORK NY CI Prof N N N Y 65088 PREFERRED CARE PARTNERS CI Prof N Y N N 73145 PREFERRED COMMUNITY CI Inst N N N N 73145 PREFERRED COMMUNITY CHOICE CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 60054 PREFERRED DENTAL ORGANIZATION CI Dental N N N N J1095 PREFERRED EMPLOYERS WC Prof N N N N J1096 PREFERRED EMPLOYERS GROUP WC Prof N N N N J1496 PREFERRED EMPLOYERS INSURANCE COMPANY (PEI) WC Prof N N N N 33898 PREFERRED HEALTH CARE PPO (LANCASTER PA) CI Prof N N N N 61106 PREFERRED HEALTH PLAN KY CI Prof N N N Y 61106 PREFERRED HEALTH PLAN (LOUISVILLE, KY) CI Inst N N N N CB404 PREFERRED HEALTH PLAN OF THE CAROLINAS CI Prof N N N Y 31478 PREFERRED HEALTH PROFESSIONALS - DENTAL CI Dental N N N N 31478 PREFERRED HEALTH PROFESSIONALS KANSAS KS CI Prof N N N N 60110 PREFERRED HEALTH SYSTEMS INSURANCE CO (PHSIC) CI Prof N N N N 4320 PREFERRED HEALTHCARE SYSTEMS PPO PA CI Prof N N N N 4320 PREFERRED HEALTHCARE SYSTEMS PPO - INST PA CI Inst N N N N PFIPA PREFERRED IPA CI Prof N N N N PMPCH PREFERRED MEDICAL PLAN (PMP) FL CI Prof N N N N 66059 PREFERRED MEDICARE CHOICE (PMC) PR CI Prof N Y N Y 36401 PREFERRED NETWORK ACCESS, INC (DARIEN, IL) CI Prof N N N N 14163 PREFERRED ONE (CT) WELLCARE CT CI Prof N N N N 41147 PREFERRED ONE ADMINISTRATIVE SERVICES CI Dental N N Y N 41147 PREFERRED ONE COMMUNITY HEALTH PLAN CI Dental N N Y N 60110 PREFERRED PLUS OF KANSAS KS CI Prof N N N N 41147 PREFERREDONE MN MN CI Prof N Y N Y 41147 PREFERREDONE MN - INST MN CI Inst N N N N BSAK1 PREMERA BLUE CROSS BLUE SHIELD ALASKA AK BL Prof N Y N Y 430 PREMERA BLUE CROSS WASH ALASKA - INST BL Inst N N N Y 430 PREMERA BLUE CROSS WASHINGTON WA BL Prof N Y N Y CX078 PREMIER ACCESS INSURANCE CI Dental N N N N 61101 PREMIER BENEFITS SYSTEM CI Prof Y N N N AMM09 PREMIER CARE IPA CA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 65054 PREMIER EYE CARE CI Prof N N N N 251PR PREMIER HEALTH PLAN (OHIO) CI Prof N Y N Y 251PR PREMIER HEALTH PLAN (OHIO) INST CI Inst N N N Y 90440 PREMIER HEALTH SYSTEMS INC CI Prof N N N N 88051 PREMIER HEALTHCARE EXCHANGE, INC (PHX) CI Prof N N N N MPM22 PREMIER PHYSICIAN NETWORK (PPN) CI Prof N N N N 5003 PRESBYTERIAN (NM) NM CI Prof N N N N PREHP PRESBYTERIAN HEALTH PLAN (COMM) NM CI Prof N N N Y PREHP PRESBYTERIAN HEALTH PLAN INST CI Inst N N N N PRESA PRESBYTERIAN MEDICAID - NEW MEXICO SALUD NM CI Prof N N N N CX014 PRESBYTERIAN SALUD CI Dental N N N N 77003 PRESTIGE HEALTH CHOICE CI Prof N Y N Y IP079 PRIMARY CARE ASSOCIATES MEDICAL GROUP (PCAMG) CA CI Prof N N N N PCACZ PRIMARY CARE ASSOCIATES OF CALIFORNIA MEDICAL CA CI Prof N N N N IP080 PRIMARY CARE PHYSICIANS CA CI Prof N N N N 73288 PRIMARY DELIVERY SYSTEM CI Prof N N N N PRIME PRIMARY HEALTH NETWORK CI Prof N N N N PMC11 PRIMARY MEDICAL CARE CI Prof N N N N PMC11 PRIMARY MEDICAL CLINIC CI Prof N N N N 63088 PRIME HEALTH CI Inst N N N N 63088 PRIME HEALTH CI Prof N N N N J1673 PRIME HEALTHCARE WC Prof N N N N J1673 PRIME HEALTHCARE (AUTO ONLY) AM Prof N N N N 56190 PRIME VISION HEALTH PLAN CI Prof N N N N 11678 PRIME WEST (MEDICAID) MN CI Prof N N N N 61604 PRIME WEST HEALTH PLAN MN CI Inst N N N N 61604 PRIME WEST HEALTH PLAN MN CI Prof N Y N N IP079 PRIMECARE MEDICAL NETWORK CHINO CA CI Prof N N N N IP079 PRIMECARE MEDICAL NETWORK CORONA CA CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status IP079 PRIMECARE MEDICAL NETWORK HEMET CA CI Prof N N N N IP079 PRIMECARE MEDICAL NETWORK INLAND VALLEY CA CI Prof N N N N IP079 PRIMECARE MEDICAL NETWORK MORENO CA CI Prof N N N N IP079 PRIMECARE MEDICAL NETWORK REDLANDS CA CI Prof N N N N IP079 PRIMECARE MEDICAL NETWORK RIVERSIDE CA CI Prof N N N N IP079 PRIMECARE MEDICAL NETWORK SUN CITY CA CI Prof N N N N IP079 PRIMECARE MEDICAL NETWORK TEMECULA CA CI Prof N N N N IP079 PRIMECARE MEDICAL NETWORK - INST CA CI Inst N N N N CX014 PRIMECARE, WISCONSIN STATE AND FEDERAL EMPLOYEES AND MEDICAID CI Dental N N N N PTIME PRIMETIME HEALTH PLAN OH CI Prof N N Y Y PRI01 PRINCETON PREMIER IPA CI Prof N N N N 61271 PRINCIPAL FINANCIAL GROUP - DENTAL CI Dental N Y N N 61271 PRINCIPAL FINANCIAL GROUP - VISION CI Prof N Y N Y PRINT PRINT TO PAPER CI Prof N N N N SPRNT PRINT TO PAPER CI Prof N N N N 99999 PRINT TO PAPER - HCFA CI Prof N N N N 99999 PRINT TO PAPER - UB CI Inst N N N N 38217 PRIORITY HEALTH CI Prof N Y N Y 38217 PRIORITY HEALTH INST CI Inst N N N N CX014 PRIORITY PARTNERS - DENTAL CI Dental N N N N 37303 PRISM FIRST HEALTH CI Prof N N N N 37268 PRISM HEALTH NETWORKS CI Prof N N N N 38329 PRO CARE HEALTH PLAN, INC CI Prof N N N N 70259 PROCARE HEALTH PLAN MEDICAID CI Prof N N N N TPC84 PRODUCERS HEALTH BENEFIT PLAN CI Dental N N N N 36331 PROFESSIONAL BEN OAK BROOK IL CI Inst N N N N 36331 PROFESSIONAL BENEFIT ADMINISTRATORS, INC CI Dental N N N N 36331 PROFESSIONAL BENEFIT ADMINISTRATORS, INC (OAK BROOK, IL) CI Prof N Y N N 59296 PROFESSIONAL BENEFITS ADMINISTRATORS CI Prof N Y N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 34134 PROFESSIONAL RISK MANAGEMENT CI Inst N N N N 34134 PROFESSIONAL RISK MANAGEMENT CI Prof N N N N PHHMO PROGRESS HEALTH HMO CI Prof N N N N J1748 PROGRESSIVE AM Prof N N N N 88029 PROMINENCE HEALTH PLAN - INST CI Inst N N N N 88029 PROMINENCE HEALTH PLAN FKA ST MARY'S CI Prof N N N N 93082 PROMINENCE HEALTH PLAN OF NEVADA NV CI Prof N N N N 93082 PROMINENCE HEALTH PLAN OF NEVADA - INST NV CI Inst N N N N 80095 PROMINENCE HEALTH PLAN OF TEXAS CI Prof N N N N 80095 PROMINENCE HEALTH PLAN OF TEXAS - INST CI Inst N N N N C1040 PROPERTY AND CASUALTY CO OF HARTFORD (AUTO ONLY) AM Prof N N N N PROSP PROSPECT MEDICAL GROUP CA CI Prof N N N N J1568 PROTECTIVE INSURANCE CO WC Prof N N N N J1568 PROTECTIVE INSURANCE CO (AUTO ONLY) AM Prof N N N N 70408 PROTECTIVE LIFE CI Prof N N N N 70408 PROTECTIVE LIFE INSURANCE COMPANY (BIRMINGHAM AL) CI Dental N N N N PHP01 PROVIDENCE CHOICE OPTION CI Prof N N N N PHP01 PROVIDENCE HEALTH PLAN (HMO) CI Prof N Y N Y PAS01 PROVIDENCE INSUR AND ADMIN SERVICES (PAS) CI Prof N N N N PAS01 PROVIDENCE INSURANCE AND ADMIN SERVICE INST CI Inst N N N N PHP01 PROVIDENCE MEDICAID OPTION CI Prof N N N N PHP01 PROVIDENCE MEDICARE EXTRA CI Prof N N N N PHP00 PROVIDENCE PREFERRED PPO CI Prof N N N N PHPPP PROVIDENCE PREFERRED(PRINT TO PAPER) OR CI Prof N N N N PHP01 PROVIDENCE TRADITIONAL OPTION CI Prof N N N N 62308 PROVIDENT (CIGNAUB) - INST CI Inst Y N N Y 62308 PROVIDENT HEALTHSOURCE CI Prof Y Y N Y 62308 PROVIDENT LIFE ACCIDENT CI Prof Y Y N Y 62308 PROVIDENT LIFE CASUALTY CI Prof Y Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 62308 PROVIDENT PREFERRED NETWORK CI Prof Y N N Y 68195 PROVIDENT PREFERRED NETWORK DENTAL CI Dental N N N N 51032 PROVIDER NETWORKS OF AMERICA (PRO-NET) CI Inst N N N N 51032 PROVIDER NETWORKS OF AMERICA (PRONET) CI Prof N N N N 9822 PROVIDER SERVICE NETWORK MEDICAID (JMHP) CI Prof N N N N 9822 PROVIDER SERVICE NETWORK MEDICAID (JMHP) INST CI Inst N N N N 48100 PROVIDRS CARE NETWORK - WPPA KS CI Prof N N N N 48100 PROVIDRS CARE NETWORK - WPPA - INST KS CI Inst N N N N 68241 PRUCARE CI Inst N N N N PR002 PRUCARE ASO CA CI Prof N N N N PR002 PRUCHOICE CA CI Prof N N N N 68241 PRUD CI Inst N N N N PR002 PRUDENTIAL CI Prof N N N N 60054 PRUDENTIAL DENTAL ORGANIZATION CI Dental N N N N PR002 PRUDENTIAL HEALTH CARE SYSTEMS CI Prof N N N N PR002 PRUDENTIAL HEALTH INSURANCE CI Prof N N N N 87056 PRUDENTIAL HEALTHDELEGATED PROVIDER GROUP CI Prof N N N N PR002 PRUDENTIAL INDEMNITY CI Prof N N N N PR002 PRUDENTIAL INNETWORK CI Prof N N N N PR002 PRUDENTIAL MANAGED HEALTH CARE CI Prof N N N N PR002 PRUDENTIAL OUTOFNETWORK CI Prof N N N N 41556 PRUDENTIAL OVERALL SUPPLY - AZ, CA WC Prof N N N N PR002 PRUDENTIAL PHARMACY MGT CI Prof N N N N PR002 PRUDENTIAL PLUS CI Prof N N N N PR002 PRUDENTIAL POINT OF SERVICE CI Prof N N N N PR002 PRUDENTIAL PSYCHIATRIC MGT CI Prof N N N N PR002 PRUDENTIAL RESOURCES MGT CI Prof N N N N PR002 PRUDENTIAL SELECT CI Prof N N N N PR002 PRUDENTIAL TRADITIONAL CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status PH001 PRUITT HEALTH PREMIER CI Prof N N N Y PR002 PRUNET CI Prof N N N N PR002 PRUNET WORK CI Prof N N N N 68241 PRUNETWORK CI Inst N N N N PR002 PRUNETWORK CI Prof N N N N PR002 PRUNETWORK PPO CI Prof N N N N PR002 PRUPPO CI Prof N N N N PR002 PRUPSYCH CI Prof N N N N SX106 PUBLIC EMPLOYEES HEALTH PROGRAMS (PEHP) CI Prof N Y Y Y 91136 PUGET SOUND BENEFITS TRUST CI Inst N N N N 91136 PUGET SOUND BENEFITS TRUST CI Prof N N N N 91136 PUGET SOUND ELECTRICAL WORKERS TRUST CI Inst N N N N 91136 PUGET SOUND ELECTRICAL WORKERS TRUST CI Prof N N N N J1485 QBE - GENERAL CASUALTY - EDEN PRAIRIE WC Prof N N N N J1483 QBE - GENERAL CASUALTY - FARMERS UNION WC Prof N N N N J1486 QBE - GENERAL CASUALTY - FREEPORT WC Prof N N N N J1487 QBE - GENERAL CASUALTY - INDIANAPOLIS WC Prof N N N N J1488 QBE - GENERAL CASUALTY - SIMSBURY WC Prof N N N N J1489 QBE - GENERAL CASUALTY - SUN PRAIRIE WC Prof N N N N J1490 QBE - GENERAL CASUALTY - WEST DES MOINES WC Prof N N N N J1484 QBE - GENERAL CASUALTY CO OF WISCONSIN WC Prof N N N N 39197 QUAD MED CI Inst N N N N 39197 QUAD MED CI Prof N N N N 39197 QUAD MED LLC (PEWAUKEE, WI) CI Dental N N N N 35174 QUAL CHOICE OF ARKANSAS AR CI Prof N Y N Y 35174 QUAL CHOICE OF ARKANSAS INST AR CI Inst N N N Y 1250 QUAL CHOICE OF OHIO OH CI Prof N N N N QMDNJ QUAL-MED NEW JERSEY NJ CI Prof N N N N QUANM QUAL-MED NEW MEXIICO NM CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status QMDPH QUAL-MED PHILADELPHIA PA CI Prof N N N N QMDCO QUAL-MED, COLORADO (CO) CO CI Prof N N N N QMDCE QUAL-MED, COLORADO EPO CO CI Prof N N N N QMDPO QUAL-MED, PORTLAND (PO) OR CI Prof N N N N QMDSE QUAL-MED, SEATTLE (SE) WA CI Prof N N N N QMDSP QUAL-MED, SPOKANE (SP) WA CI Prof N N N N 23342 QUALCARE CI Prof N Y N Y 23342 QUALCARE INST CI Inst N N N N 42172 QUALCHOICE MEDICARE ADVANTAGE CI Prof N N N N 41556 QUALITY CARE CONV WC Prof N N N N PDT01 QUALITY CARE IPA CA CI Prof N N N N 89461 QUALITY CARE PARTNERS (QCP) CI Prof N N N N 89461 QUALITY CARE PARTNERS (QCP) - INST CI Inst N N N N 41556 QUALITY HEALTH M G WC Prof N N N N QHP01 QUALITY HEALTH PLANS INC CI Prof N N N N QHPNY QUALITY HEALTH PLANS NEW YORK NY CI Prof N N N N 41556 QUEEN OF ANGELS - HOLLYWOOD WC Prof N N N N 73067 QUICKTRIP CI Inst N N N N 73067 QUICKTRIP CI Prof N Y N N 37129 QUINCY HEALTH CARE MANAGEMENT INC CI Inst N N N N 37129 QUINCY HEALTH CARE MANAGEMENT INC CI Prof N N N N 57117 QVI RISK SOLUTIONS CI Prof N N N N J1522 RALEY'S FAMILY OF FINE STORES WC Prof N N N N J1938 RALPH LAUREN WC WC Prof N N N N 38512 RAMPART INSURANCE COMPANY WC Prof N N N N J1663 RAMSEY COUNTY (MN) WC Prof N N N N J1663 RAMSEY COUNTY (MN) (AUTO ONLY) AM Prof N N N N J1635 RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT (CA) WC Prof N N N N J1635 RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT (CA) (AUTO ONLY) AM Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 91176 RBMS AK CI Prof N N N N 41556 RCH PROTECTIVE - SNCC WC Prof N N N N J1675 RECOLOGY WC Prof N N N N J1675 RECOLOGY (AUTO ONLY) AM Prof N N N N A0205 RED OAK INDEPENDENT SCHOOL DISTRICT WC Prof N N N N 20044 REDWOOD FIRE AND CASUALTY INSURANCE COMPANY (MEMBER OF BHHC) WC Prof N N N N IP122 REGAL BAKERFIELD CA CI Prof N N N N IP120 REGAL MEDICAL GROUP IPA CA CI Prof N N N N IP123 REGAL VICTOR VALLEY CA CI Prof N N N N BSUT2 REGENCE BCBS UTAH UT BL Prof Y Y N Y UTFEP REGENCE BCBS UTAH FEDERAL UT BL Prof N Y N Y RGA01 REGENCE GROUP ADMINISTRATORS CI Prof N N N N 38221 REGENCY EMPLOYEE BENEFITS CI Prof N N N N J1484 REGENT INSURANCE COMPANY - QBE DBA WC Prof N N N N 47076 REGIONAL CARE INC CI Prof N N N N 47076 REGIONAL CARE INC - INST CI Inst N N N N J1467 REGIS BRANDS WC Prof N N N N 41556 REHAB CENTER OF BEVERLY HILLS WC Prof N N N N RENGQ RENAISSANCE GULF QUEST CI Prof N N N N RLHA1 RENAISSANCE LIFE AND HEALTH CI Dental N N N N 76066 RENAISSANCE PHYSICIANS ORGANIZATION CI Prof N N N N 12475 REPUBLIC FRANKLIN INSURANCE WC Prof N N N N J1008 REPUBLIC INDEMNITY COMPANY OF AMERICA WC Prof N N N N J1597 REPUBLIC WESTERN INS CO WC Prof N N N N J1597 REPUBLIC WESTERN INS CO (AUTO ONLY) AM Prof N N N N J1376 RESCARE, INC WC Prof N N N N 73066 RESERVE NATIONAL CI Inst N N N N 73066 RESERVE NATIONAL CI Prof N N N N J1097 RESIDENTIAL SERVICES GROUP WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1098 RESTAURANT REINSURANCE LIMITED WC Prof N N N N 41556 RESTORATION PROF WC Prof N N N N 37277 RESURRECTION HEALTH CARE HEALTH PREFERRED CI Prof N N N N RPPG1 RESURRECTION PHYSICIAN PROVIDERS GROUP CI Prof N N N N J1202 RETURN TO WORK WC Prof N N N N 37270 REYNOLDS AND REYNOLDS CI Prof N N N N 37270 REYNOLDS AND REYNOLDS INST CI Inst N N N N VESTA RH ADMINISTRATORS - INST CI Inst N N N N J1099 RHONE-POULENC,INC WC Prof N N N N 41556 RICK CONCRETE CONST WC Prof N N N N J1100 RIETH-RILEY CONSTRUCTION COMPA WC Prof N N N N 74205 RIGHT CARE SCOTT WHITE CI Prof N Y N Y 74205 RIGHT CARE SCOTT WHITE INST CI Inst N N N N 37331 RIGHTCHOICE BENEFITS ADMINISTRATORS CI Prof N N N N 37331 RIGHTCHOICE BENEFITS ADMINISTRATORS CI Inst N N N N CB293 RISK ADMINISTRATION SERVICES (RAS) WC Prof N N N N J1491 RISK ENTERPRISE MANAGEMENT (REM) WC Prof N N N N J1101 RISK TRANSFER TECHNOLOGIES, INC WC Prof N N N N RCMG1 RIVER CITY MEDICAL GROUP CA CI Prof N N N N J1546 RIVERPORT INSURANCE (MN SCHOOL BOARD ASSOCIATION) MN WC Prof N N N N J1477 RIVERPORT INSURANCE COMPANY (AGRICULTURAL ONLY) WC Prof N N N N 45281 RIVERSIDE HEALTH INC CI Prof N N N N 45281 RIVERSIDE HEALTH INC CI Inst N N N N 16117 RMSCO, INC CI Prof N N N N 16117 RMSCO, INC - DENTAL CI Dental N N N N 16117 RMSCO, INC - INST CI Inst N N N N 41556 ROBSTOWN ISD WC Prof N N N N 41625 ROCHESTER PUBLIC SCHOOLS CI Dental N N N N 27065 ROCKFORD MUTUAL INSURANCE COMPANY WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 27065 ROCKFORD MUTUAL INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 41556 ROCKWALL ISD WC Prof N N N N RMHM1 ROCKY MOUNTAIN HMO CO CI Prof N N Y Y RMHM1 ROCKY MOUNTAIN HMO INST CO CI Inst N N Y Y TRW01 ROOFERS WATERPROOFERS LOCAL 136 HW FUND CI Dental N N N N 37602 ROONEY LIFE INC CI Prof N N N Y 37602 ROONEY LIFE INC - INST CI Inst N N N Y 41556 ROSE GARDEN GUEST HO WC Prof N N N N 36215 ROSEMONT OF DES PLAINES, IL CI Inst N N N N 41556 ROSEWOOOD EQUIPMENT WC Prof N N N N TPC85 ROSLYN TEACHERS ASSOC BENEFIT FUND CI Dental N N N N 41556 ROSSI CONCRETE, INC WC Prof N N N N J1516 ROTH STAFFING COMPANIES WC Prof N N N N RR001 ROYAL RESOURCES CI Dental N N N N J1102 RSC INSURANCE SERVICES, LTD WC Prof N N N N 41556 RURAL SPECIAL DISTRICT INSURANCE PROGRAM WC Prof N N N N 36339 RUSH HEALTH ASSOCIATION CI Inst N N N N 36339 RUSH HEALTH ASSOCIATION CI Prof N N N N 36332 RUSH HEALTH PROVIDERS CI Prof N N N N 36389 RUSH PRUDENTIAL HMO CI Inst N N N N 36389 RUSH PRUDENTIAL HMO CI Prof N N N N 63070 RWDSU BENEFIT FUND CI Inst N N N N 63070 RWDSU BENEFIT FUND CI Prof N N N N J1009 RYDER SERVICES, INC WC Prof N N N N 31441 S S HEALTHCARE STRATEGIES CI Prof N N N N 31441 S S HEALTHCARE STRATEGIES - INST CI Inst N N N N J1728 SA RECYCLING, LLC WC Prof N N N N J1728 SA RECYCLING, LLC (AUTO ONLY) AM Prof N N N N 24740 SAFECO INSURANCE WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CX030 SAFEGUARD DENTAL VISION CI Dental N N N N J1103 SAFETY-KLEEN CORPORATION WC Prof N N N N 35164 SAGAMORE HEALTH NETWORK CI Prof N N N N 35164 SAGAMORE HEALTH NETWORK INST CI Inst N N N N 37105 SAGE TECHNOLOGIES CI Dental N N N N J1658 SAINT LOUIS COUNTY (MN) WC Prof N N N N J1658 SAINT LOUIS COUNTY (MN) (AUTO ONLY) AM Prof N N N N 41556 SALT LAKE CITY CORPORATION WC Prof N N N N J1730 SALT LAKE CITY CORPORATION WC Prof N N N N J1730 SALT LAKE CITY CORPORATION (AUTO ONLY) AM Prof N N N N 41556 SAM KANE BEEF PROCESSORS, INC WC Prof N N N N CP001 SAMARITAN HEALTH PLANS CI Prof N N N N CP001 SAMARITAN HEALTH PLANS - INST CI Inst N N N N 62308 SAMBA (CIGNA) CI Prof N N N Y TFQ67 SAMBA FEDERAL EMPLOYEE BENEFIT ASSOC CI Dental N N N N J1690 SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS (CA) WC Prof N N N N J1690 SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS (CA) (AUTO ONLY) AM Prof N N N N J1638 SAN DIEGO COMMUNITY COLLEGE DISTRICT (CA) WC Prof N N N N J1638 SAN DIEGO COMMUNITY COLLEGE DISTRICT (CA) (AUTO ONLY) AM Prof N N N N 41556 SAN DIEGO HOSPICE AND THE INSTITUTE FOR PALLIATIVE MEDICINE WC Prof N N N N 41556 SAN DIEGO METROPOLITAN TRANSIT SYSTEM (SCHIP LIABILITY) WC Prof N N N N 41556 SAN DIEGO TRANSIT CORP WC Prof N N N N 41556 SAN DIEGO TROLLEY, INC WC Prof N N N N 37236 SAN FRANCISCO ELEC WKR HLTH CI Inst N N N N 41556 SAN JOAQUIN COUNTY WC Prof N N N N SHC30 SANDHILLS CENTER CI Prof N N N N 91184 SANFORD HEALTH PLAN CI Prof N N N Y TPC05 SANFORD HEALTH PLAN - DENTAL CI Dental N N N N TPC86 SANITATION OFFICERS RETIREE CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status TPC87 SANITATION OFFICERS SECURITY FUND CI Dental N N N N 37288 SANTA BARBARA COTTAGE HOSPITAL CI Inst N N N N 37288 SANTA BARBARA COTTAGE HOSPITAL CA CI Prof N N N N SBIPA SANTA BARBARA SELECT IPA MEDICAL GROUP CA CI Prof N N N N 41556 SANTA CLARA CO OFFICE OF EDUC WC Prof N N N N 10378 SANTA CLARA COUNTY IPA (SCCIPA) CA CI Prof N N N N 24077 SANTA CLARA FAMILY HEALTH PLAN CI Prof N Y N N J1518 SANTA CLARA VALLEY TANSPORTATION AUTHORITY WC Prof N N N N IP027 SANTA MARTA MEDICAL GROUP CA CI Prof N N N N 77038 SANTE HEALTH SYSTEMS CI Prof N N N N 80705 SANUS PPO - GREAT WEST CI Prof Y Y N Y 73172 SCAN HEALTH PLAN ARIZONA AZ CI Prof N N N N 73172 SCAN HEALTH PLAN ARIZONA - INST AZ CI Inst N N N N SCAN1 SCAN HEALTH PLAN CALIF CA CI Prof N N N N SCAN1 SCAN HEALTH PLAN CALIF - INST CA CI Inst N N N N 20460 SCAN LONG TERM CARE CI Prof N N N N 20460 SCAN LONG TERM CARE - DENTAL CI Dental N N N N TPC88 SCCEA WELFARE FUND CI Dental N N N N 16146 SCHC TOTAL CARE CI Prof N N N N J1104 SCHLUMBERGER TECHNOLOGY WC Prof N N N N 41556 SCHNEIDER GAIN WC Prof N N N N J1560 SCHNUCK MARKET, INC WC Prof N N N N TLW27 SCHOOL CLAIM SERVICES, LLC (PA) CI Dental N N N N J1538 SCIF AZ WC Prof N N N N SCION SCION DENTAL CI Dental N N N N 88030 SCOTT WHITE HEALTH CARE PLAN TX CI Prof N Y N N 88030 SCOTT WHITE HEALTH CARE PLAN INST TX CI Inst N N N N J1049 SCOTTS MIRACLE-GRO COMPANY WC Prof N N N N SHPS1 SCRIPPS HEALTH PLAN SERVICES CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status SHPS1 SCRIPPS HEALTH PLAN SERVICES CI Prof N N N N IP112 SEA VIEW IPA CI Prof N N N N J1499 SEABRIGHT (SBIC) WC Prof N N N N 13310 SEABURY SMITH CI Inst N N N N 13310 SEABURY SMITH CI Prof N N N N J1379 SECURA INSURANCE A MUTUAL COMPANY WC Prof N N N N TLY98 SECURE CARE DENTAL CI Dental N N N N 28530 SECURE HEALTH PLANS OF GEORGIA CI Prof N Y N N 28530 SECURE HEALTH PLANS OF GEORGIA - INST CI Inst N N N N 87726 SECURE HORIZONS DIRECT FFS UNITED HEALTHCARE CI Prof Y Y N Y 95959 SECURE HORIZONS OF CALIFORNIA HMO CA CI Prof N Y N Y 95964 SECURE HORIZONS OF ARIZONA HMO AZ CI Prof N N N Y COFHP SECURE HORIZONS OF COLORADO CO CI Prof N N N N 95962 SECURE HORIZONS OF COLORADO HMO CO CI Prof N N N Y 95959 SECURE HORIZONS OF OKLAHOMA HMO OK CI Prof N Y N Y 95959 SECURE HORIZONS OF OREGON HMO OR CI Prof N Y N Y 95959 SECURE HORIZONS OF TEXAS HMO AKA MEDICARE COMPLETE TX CI Prof N Y N Y 95959 SECURE HORIZONS OF WASHINGTON HMO WA CI Prof N Y N Y 42142 SECURECARE OF IOWAINFOTRUST CI Prof N N N N 39045 SECURITY HEALTH PLAN CI Prof N Y N Y 39045 SECURITY HEALTH PLAN DENTAL CI Dental N N N N 39045 SECURITY HEALTH PLAN INST CI Inst N N N N J1661 SEDGWICK CARGILL, INC WC Prof N N N N J1661 SEDGWICK CARGILL, INC (AUTO ONLY) AM Prof N N N N TP097 SEDGWICK CMS WC Prof N N N N 41556 SEENO CONSTRUCTION (CHARTIS) WC Prof N N N N 41556 SEENO HOMES WC Prof N N N N 41556 SELA HEALTH CARE WC Prof N N N N 64088 SELECT ADMINISTRATIVE SERVICES MS CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 64088 SELECT ADMINISTRATIVE SERVICES DENTAL CI Dental N N N N 64088 SELECT ADMINISTRATIVE SVC SAS CI Inst N N N N 93031 SELECT BENEFIT ADMINISTRATORS CI Prof N N N N CX018 SELECT BENEFIT ADMINISTRATORS (OR) CI Dental N N N N 93031 SELECT BENEFIT ADMINISTRATORS INC CI Inst N N N N 37282 SELECT BENEFIT ADMINISTRATORS OF AMERICA (ASHLAND, WI) CI Prof N N N N 37282 SELECT BENEFITS ADMINISTRATORS OF AMERICA CI Inst N N N N J1937 SELECT ENERGY SERVICES WC WC Prof N N N N 23285 SELECT HEALTH OF SOUTH CAROLINA CI Prof N Y N Y 23285 SELECT HEALTH OF SOUTH CAROLINA - INST CI Inst N N N N J1446 SELECT STAFFING (KOOSHAREM, REAL TIME STAFFING, REMEDY, SELECTREMEDY AND WESTAF WC Prof N N N N 14 SELECTCARE CI Prof N Y N N 14 SELECTCARE - INST CI Inst N N N N 72189 SELECTCARE OF TEXAS (BEAUMONT) TX CI Prof N Y N N 76045 SELECTCARE OF TEXAS (HPN) HERITAGE PHYSICIAN NETWORK CI Prof N Y N N 61225 SELECTCARE OF TEXAS (KELSEY-SEYBOLD) CI Prof N Y N N SX107 SELECTHEALTH - IHC (UHIN) UT CI Prof N Y N Y 12572 SELECTIVE WC Prof N N N N 34131 SELF FUNDED PLANS INC DENTAL CI Dental N N N N 52196 SELF FUNDING ADMINISTRATORS CI Inst N N N N 59111 SELF INSURED BENEFIT ADMINISTRATORS (CLEARWATER, FL) CI Dental N N N N 36404 SELF INSURED PLANS CI Inst N N N N 36404 SELF INSURED PLANS LLC FL CI Prof N N N Y 34131 SELF-FUNDED PLANS, INC CI Inst N N N N J1520 SELF-INSURED SCHOOLS OF CALIFORNIA (SISC) CA WC Prof N N N N 34131 SELFFUNDED PLANS CI Prof N N N N 41556 SELMAN BREITMAN WC Prof N N N N J1915 SEMPRA ENERGY EMPLOYEE CARE WC WC Prof N N N N 36426 SENDERO HEALTH TX CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 36426 SENDERO HEALTH INST TX CI Inst N N N N 36390 SENIOR CARE PARTNERS CI Inst N N N N 36390 SENIOR CARE PARTNERS CI Prof N N N N 83035 SENIOR WHOLE HEALTH CI Inst N N N N 83035 SENIOR WHOLE HEALTH CI Prof N Y N N CX014 SENIOR WHOLE HEALTH MASS - DENTAQUEST MA CI Dental N N N N 54154 SENTARA FAMILY CARE CI Prof N Y N N 54154 SENTARA HEALTH MANAGEMENT CI Inst N N N N C1040 SENTINEL INSURANCE COMPANY LTD AM Prof N N N N 23249 SENTINEL MANAGEMENT SERVICES CI Inst N N N N 23249 SENTINEL MANAGEMENT SERVICES PA CI Prof N N N N C1033 SENTRY AUTO AM Prof N N N N J1417 SENTRY INSURANCE WC Prof N N N N 39033 SENTRY INSURANCE CI Inst N N N N 39033 SENTRY INSURANCE CI Prof N N N N AMM07 SEOUL MEDICAL GROUP CA CI Prof N N N N TPC89 SERVICE EMPLOYEES 32BJ NORTH HEALTH CI Dental N N N N J1593 SERVICE LLOYDS INSURANCE CO WC Prof N N N N J1593 SERVICE LLOYDS INSURANCE CO (AUTO ONLY) AM Prof N N N N TSG01 SET SEG SET, INC CI Dental N N N N 76056 SETON CHIP CI Inst N N N N SHEBP SETON EMPLOYEE PLAN TX CI Prof N N N N SHPCH SETON HEALTH PLAN CHIP TX CI Prof N N N N EPNSH SETON HEALTH PLAN EXCLUSIVE PROVIDER NETWORK TX CI Prof N N N N SHMAP SETON HEALTH PLAN - MAP PROGRAM TX CI Prof N N N N SET22 SETON HEALTH PLAN - STAR MEDICAID CI Prof N N N N STAR1 SETON STAR TX CI Prof N N N N 25404 SEVEN CORNERS CI Inst N N N N 25404 SEVEN CORNERS CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 59064 SFCCN MEMORIAL INTEGRATED CI Prof N N N Y 59065 SFCCN MEMORIAL INTEGRATED MEDICAID CI Prof N N N Y J1456 SFN GROUP (SPHERION, TECHNISOURCE, TATUM, THE MERGIS GROUP, SOURCE RIGHT) WC Prof N N N N 87726 SHARE ADVANTAGE HEALTH PLAN CI Prof Y N N Y UH005 SHARE HEALTH PLAN ILLHMO CI Prof N N N N 87726 SHARE HEALTH PLAN ILXHMO IL CI Prof N N N Y UH006 SHARE HEALTH PLAN ILLPPO CI Prof N N N N SHP01 SHARP HEALTH PLAN CA CI Prof N N N N 41556 SHARYLAND INDEPENDENT SCHOOL DISTRICT WC Prof N N N N 75280 SHASTA ADMINISTRATIVE SERVICES CI Prof N N N Y 75280 SHASTA ADMINISTRATIVE SERVICES - INST CI Inst N N N N J1468 SHAWSSTARMARKET WC Prof N N N N SMW01 SHEET METAL 91 HEALTH WELFARE FUND CI Dental N N N N OBASM SHEET METAL WORKERS LOCAL 263 HEALTH WELFARE FUND CI Prof N N N N OBASM SHEET METAL WORKERS LOCAL 263 HEALTH AND WELFARE FUND CI Prof N N N N SMW01 SHEET METAL WORKERS LOCAL 91 CI Dental N N N N SMW99 SHEET METAL WORKERS LOCAL 91 CI Prof N N N N SLI01 SHENANDOAH LIFE INSURANCE COMPANY CI Dental N N N N SC359 SHERMANCHOICE CI Prof N N N N HM024 SHIELD 65 CA CI Prof N N N N TPC90 SHOPMEN IRONWORKERS WELFARE PLA CI Dental N N N N 3699 SIEBA LTD CI Prof N N N N 76342 SIERRA HEALTH AND LIFE NV CI Prof N Y N N 76342 SIERRA HEALTH AND LIFE - INST CI Inst N N N N 41556 SIERRA NEVADA MEMORIAL WC Prof N N N N SA001 SIGNATURE ADVANTAGE CI Prof N N N Y 23250 SIGNIFICA BENEFIT SERVICES FKA ERIN GROUP CI Inst N N N N 23250 SIGNIFICA BENEFIT SERVICES FKA ERIN GROUP CI Prof N Y N N 41556 SILBERBERGER ENGN WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 27094 SIMPLY HEALTHCARE PLANS CI Prof N Y N N 84076 SINCLAIR HEALTH PLAN CI Prof N N N N SVH01 SIOUX VALLEY HEALTH PLAN CI Inst N N N N SVH01 SIOUX VALLEY HEALTH PLAN CI Prof N N N N 540 SISCO - SELF INSURED SERVICES COMPANY CI Prof N N N Y J1898 SISCO WORK COMP WC Prof N N N N 41556 SKB CORPORATION WC Prof N N N N 84096 SLOANS LAKE MANAGED CARE CI Inst N N N N 84096 SLOANS LAKE MANAGED CARE CI Prof N N N N 84096 SLOANS LAKE MANAGED CARE CI Prof N N N N 2057 SMITH ADMINISTRATORS CI Prof N N N N 2057 SMITH ADMINISTRATORS INST CI Inst N N N N 13010 SMOKY MOUNTAIN LMEMCO NC CI Prof N N Y Y J1105 SNAP-ON INCORPORATED WC Prof N N N N J1106 SOLVAY AMERICA INC WC Prof N N N N J1381 SONIC AUTOMOTIVE INC WC Prof N N N N E3510 SONOMA COUNTY PRIMARY CARE CA CI Prof N N N N 94156 SONOMA FOUNDATION CAL CI Inst N N N N 41556 SONOMA VALLEY HEALTHCARE DISTRICT WC Prof N N N N 41556 SONOMA VALLEY HLTH WC Prof N N N N 91131 SOUND HEALTH (AKA FIRST CHOICE HEALTH) CI Prof N N N N 91131 SOUND HEALTH (AKA FIRST CHOICE HEALTH) - INST CI Inst N N N N 42172 SOUNDPATH HEALTH CI Prof N N N Y 42172 SOUNDPATH HEALTH - INST CI Inst N N N N TPC11 SOUTH CAROLINA HEALTHY CONNECTIONS DENTAL CI Dental N N N N 32266 SOUTH CENTRAL PREFERRED CI Prof N N N N 23266 SOUTH CENTRAL PREFERRED (SCP) CI Prof N N N N 23266 SOUTH CENTRAL PREFERRED (SCP) - INST CI Inst N N N N J1731 SOUTH COAST AREA TRANSIT (CA) WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1731 SOUTH COAST AREA TRANSIT (CA) (AUTO ONLY) AM Prof N N N N SX142 SOUTH INDIANA HEALTH ORG (SIHO) IN CI Prof N N N N 25147 SOUTHCARE HEALTHCARE PREFERRED CI Prof N N N N 25147 SOUTHCAREHEALTHCARE PREFERRED CI Inst N N N N 86068 SOUTHEAST IOWA HEALTH PLAN IA CI Prof N N N N J1865 SOUTHEAST LEASING WC WC Prof N N N N STGEB SOUTHEAST TEXAS GOVT EMPLOYEE BENEFITS TX CI Prof N N N N 77153 SOUTHEASTERN INDIANA HEALTH (SIHO) IN CI Prof N N N N 77153 SOUTHEASTERN INDIANA HEALTH (SIHO) INST IN CI Inst N N N N SEI01 SOUTHEASTERN SERVICE EMPLOYEE INTERNATIONAL UNION (SEIU) CI Dental N N N N SEI99 SOUTHEASTERN SERVICE EMPLOYEES INTERNATIONAL UNION CI Prof N N N N 37318 SOUTHERN BENEFIT SERVICES LLC CI Prof N N N N 37318 SOUTHERN BENEFIT SERVICES LLC - INST CI Inst N N N N SCP01 SOUTHERN CAL PHYSICIANS MANAGED CA CI Prof N N N N BPA01 SOUTHERN CALIFORNIA LUMBER CI Prof N N N N J1690 SOUTHERN CALIFORNIA RISK MANAGEMENT WC Prof N N N N J1690 SOUTHERN CALIFORNIA RISK MANAGEMENT (AUTO ONLY) AM Prof N N N N 56131 SOUTHERN GROUP ADMINISTRATORS CI Prof N N N N 25128 SOUTHERN HEALTH SERVICES COVENTRY CI Inst N N N Y SIHCA SOUTHERN ILLINOIS HEALTH CARE ASSOCIATION IL CI Prof N N N N UIHCA SOUTHERN ILLINOIS HEALTH CARE ASSOCIATION - UB IL CI Prof N N N N J1648 SOUTHERN TEXTILE RECYCLING, INC (CA) WC Prof N N N N J1648 SOUTHERN TEXTILE RECYCLING, INC (CA) (AUTO ONLY) AM Prof N N N N SAM01 SOUTHLAND ADVANTAGE MEDICAL GROUP, INC CA CI Prof N N N N SIPA1 SOUTHLAND IPA CI Prof N N N N PHM11 SOUTHLAND SAN GABRIEL VALLEY MEDICAL GROUP CA CI Prof N N N N J1233 SOUTHWEST AIRLINES (SWA) WC Prof N N N N M3IL2 SOUTHWEST BCBS OF FLORIDA FL CI Prof N N N N 41556 SOUTHWEST GAS CORPORATION WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 37266 SOUTHWEST SERVICE LIFE CI Inst N N N N 37266 SOUTHWEST SERVICE LIFE TX CI Prof N N N N 60054 SOUTHWESTERN BELL CI Dental N N N N 68241 SOUTHWESTERN BELL CI Inst N N N N PR002 SOUTHWESTERN BELL CI Prof N N N N PR002 SOUTHWESTERN BELL EXEC CUSTOM CARE CI Prof N N N N PR002 SOUTHWESTERN BELL EXEC SOUTHWESTERN BELL CI Prof N N N N 52190 SPECIAL RISK INTERNATIONAL CI Inst N N N N 52190 SPECIAL RISK INTERNATIONAL CI Prof N N N N 41556 SPECIALTY COFFEE WC Prof N N N N 773 SPECTERA UNITED HEALTHCARE VISION CI Prof N N N Y 41556 SPOONER'S WOODWORKS WC Prof N N N N J1922 SPRINGFIELD INSURANCE CO WC WC Prof N N N N 22240 ST BARNABAS SYSTEM HEALTH PLAN CI Inst N N N N 22240 ST BARNABAS SYSTEM HEALTH PLAN CI Prof N N N N 35199 ST CATHERINE HOSPITAL PHO (MDWISE) CI Prof N N N N 35199 ST FRANCIS HEALTH NETWORK IN CI Prof N N N N 11158 ST JAMES PHO IL CI Inst N N N N 11158 ST JAMES PHO IL CI Prof N N N N 37264 ST JOHNS CLAIMS ADMINIS CI Inst N N N N 37264 ST JOHNS CLAIMS ADMINISTRATION CI Prof N N N N 68033 ST JOSEPH HEALTH FOUNDATION OF NO CA CI Prof N N N N STJOE ST JOSEPH HERITAGE HEALTHCARE CA CI Prof N N N N IP106 ST JUDE CI Prof N N N N SMIPA ST MARYS IPA CA CI Prof N N N N J1926 ST PAUL INSURANCE WC WC Prof N N N N 27034 ST PAUL PACE CI Prof N N N N 41556 ST ROSE HOSPITAL WC Prof N N N N 37116 ST THERESE PHYSICIAN ASSOCIATES IL CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 37116 ST THERESE PHYSICIAN ASSOCIATION CI Inst N N N N STM01 ST THOMAS MEDICAL NETWORK (GULFQUEST) CI Prof N N N N PDT01 ST VINCENT IPA CA CI Prof N N N N J1118 STANDARD FORWARDING WC Prof N N N N 41556 STANDARD FRUIT AND VEG WC Prof N N N N 1758 STANDARD LIFE AND ACCIDENT - MORGAN WHITE ADMIN CI Prof N Y N N 1758 STANDARD LIFE AND ACCIDENT - MORGAN WHITE ADMIN - INST CI Inst N N N N 86304 STANDARD SECURITY LIFE CI Prof N N N N 86304 STANDARD SECURITY LIFE INST CI Inst N N N N J1939 STANLEY STEEMER INTERNATL WC WC Prof N N N N J1385 STANLEY WORKS, INC WC Prof N N N N J1107 STANT CORPORATION WC Prof N N N N 59225 STAR HRG - STARBRIDGE PHOENIX PO BOX CI Prof N N N Y 59225 STAR HRG - STARBRIDGE PHOENIX PO BOX INST CI Inst N N N N 61425 STARMARK CI Prof N N N N 61425 STARMARK - INST CI Inst N N N N STR01 STARMOUNT LIFE INSURANCE COMPANY CI Dental N N N N 46450 STATE AUTO INSURANCE COMPANIES CI Prof N N N N 46450 STATE AUTO INSURANCE COMPANIES -INST CI Inst N N N N 35076 STATE COMPENSATION INSURANCE FUND (SCIF) WC Prof N N N N STMSS STATE EMPLOYEES MISSISSIPPI (ZZ) MS CI Prof N Y Y Y J1548 STATE FARM (AUTO ONLY) AM Prof N N N N 31059 STATE FARM (OTHER PROPERTY CASUALTY) AM Prof N N N N J1548 STATE FARM (WORKERS COMP) WC Prof N N N N 31053 STATE FARM GROUP MEDICAL INDIV HEALTH CI Prof N Y N N 31053 STATE FARM GROUP MEDICAL INDIV HEALTH INST CI Inst N N N N J1553 STATE FUND MUTUAL WC Prof N N N N J1553 STATE FUND MUTUAL (AUTO ONLY) AM Prof N N N N MERIT STATE MERIT GEORGIA GA CI Prof N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 69140 STATE MUTUAL LIFE ASSUR CO AM CI Inst N N N N J1555 STATE OF MINNESOTA - DOER WC Prof N N N N J1555 STATE OF MINNESOTA - DOER (AUTO ONLY) AM Prof N N N N J1659 STATE OF NORTH CAROLINA WC Prof N N N N J1659 STATE OF NORTH CAROLINA (AUTO ONLY) AM Prof N N N N J1418 STATE OFFICE OF RISK MANAGEMENT WC Prof N N N N 14163 STAYWELL - STAYWELL HEALTHY KIDS FL MC Prof N N N N 14163 STAYWELL HEALTH PLAN FL MC Prof N Y N N 91151 STERLING OPTION 1 CI Prof N N N N 91151 STERLING OPTION 1 CI Inst N N N N 67829 STERLING PARTNERS PPO CI Prof N N N Y 41556 STIMSON LUMBER COMPANY - MT, OR, WA WC Prof N N N N TRLTC STONEBRIDGE LIFE INSURANCE COMPANY CI Prof N Y N N 31121 STONER ASSOCIATES (CINCINNATI, OH) CI Dental N N N N 31121 STONER AND ASSOCIATES (CINCINNATI, OH) CI Prof N N N N 31121 STONER AND ASSOCIATES (CINCINNATI, OH) CI Inst N N N N 15752 STONES RIVER REGIONAL IPA (SRRIPA) WINDSOR CI Prof N N N N 41556 STONINGTON C CLUB WC Prof N N N N 58128 STOWE ASSOCIATES (ATLANTA, GA) CI Prof N N N N TPC91 STRUCTURAL STEEL BRIDGE PAINTERS CI Dental N N N N 68381 STUDENT INSURANCE DENTAL CI Dental N N N N 74227 STUDENT RESOURCES (UNITEDHEALTHCARE) CI Prof Y Y N Y 74227 STUDENT RESOURCES (UNITEDHEALTHCARE) - INST CI Inst N N N N 35199 SUBURBAN HEALTH ORGANIZATION CI Prof N N N N CX014 SUFFOLK COUNTY CI Dental N N N N 11325 SUFFOLK HEALTH PLAN OF NEW YORK (NHP) CI Prof N N N N 95202 SUMMACARE HEALTH PLAN CI Prof N Y N Y 95202 SUMMACARE HEALTH PLAN INST CI Inst N N N N 86071 SUMMERLIN LIFE HEALTH HI CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 86083 SUMMIT ADMINISTRATION SERVICES INC CI Prof N N N Y 37301 SUMMIT AMERICA INSURANCE SERVICES LC CI Inst N N N N 37301 SUMMIT AMERICA INSURANCE SERVICES LC CI Prof N Y N N J1108 SUMMIT HEALTH LTD WC Prof N N N N J1437 SUMMIT HOLDINGS WC Prof N N N N 31147 SUMMITCORP (OHIO BWC) OH CI Prof N N N N J1610 SUN MAR HEALTHCARE WC Prof N N N N J1610 SUN MAR HEALTHCARE (AUTO ONLY) AM Prof N N N N 68241 SUN TRUST BANK CI Inst N N N N PR002 SUN TRUST BANK CI Prof N N N N 68069 SUNFLOWER STATE HEALTH PLAN KANSAS KS CI Prof N Y N Y 41556 SUNRISE COUNTRY CLUB WC Prof N N N N 68057 SUNSHINE STATE HEALTH PLAN FL CI Prof N Y N Y 68057 SUNSHINE STATE HEALTH PLAN INST FL CI Inst N N N Y J1584 SUNZ INSURANCE COMPANY WC Prof N N N N J1584 SUNZ INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 41556 SUPERIOR ACCESS INS SERVICES WC Prof N N N N 23218 SUPERIOR BENEFITS CI Prof N N N N 23218 SUPERIOR BENEFITS - INST CI Inst N N N N 31117 SUPERIOR DENTAL CARE CI Dental N N N N SHP11 SUPERIOR HEALTH PLAN TEXAS TX CI Prof N Y N Y 39188 SUPERIOR HEALTH PLAN TEXAS TX CI Prof N Y N Y 39188 SUPERIOR HEALTH PLAN TEXAS INST TX CI Inst N N N Y 41556 SUPERIOR INDUSTRIES INTERNATIONAL, INC WC Prof N N N N 41556 SUPERIOR READY MIX WC Prof N N N N CPPSW SUPERIORSTAR PREGNANT WOMEN CI Dental N N N N 29076 SUPERMED PPO - 1ST MEDICAL - INST CI Inst N N N Y 29076 SUPERMED PPO -1ST MEDICAL CI Prof N N N Y TPC92 SUPREME COURT REPORTERS (ACTIVE) CI Dental N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status TPC93 SUPREME COURT REPORTERS (RETIREE) CI Dental N N N N CX088 SURENCY LIFE AND HEALTH DENTAL CI Dental N N N N IP100 SUTTER CONNECT DELTA CLAIMS CA CI Prof N N N N IP090 SUTTER CONNECT SANTA ROSA NETWORK CLAIMS CA CI Prof N N N N HM057 SUTTER CONNECT SANTA ROSA NETWORK ENCOUNTERS CA CI Prof N N N N IP092 SUTTER CONNECT SIP CLAIMS CA CI Prof N N N N HM059 SUTTER CONNECT SIP ENCOUNTERS CA CI Prof N N N N IP099 SUTTER CONNECT SOLANO REGIONAL MEDICAL GROUP CLAIMS CA CI Prof N N N N HM062 SUTTER CONNECT SOLANO REGIONAL MEDICAL GROUP ENCOUNTERS CA CI Prof N N N N IP091 SUTTER CONNECT SUTTER GOULD MEDICAL FOUNDATION CLAIMS CA CI Prof N N N N HM058 SUTTER CONNECT SUTTER GOULD MEDICAL FOUNDATION ENCOUNTERS CA CI Prof N N N N IP131 SUTTER CONNECT CENTRAL VALLEY CLAIMS CA CI Prof N N N N HM066 SUTTER CONNECT CENTRAL VALLEY ENCOUNTERS CA CI Prof N N N N IP130 SUTTER EAST BAY MEDICAL FOUNDATION CA CI Prof N N N N J1512 SUTTER HEALTH WC Prof N N N N PR002 SW BELL CI Prof N N N N J1109 SWIFT TRANSPORTATION WC Prof N N N N SYMED SYNERMED CA CI Prof N N N N SYMED SYNERMED - INST CA CI Inst N N N N TALMG TALBERT MEDICAL GROUP CI Prof N N N N 88067 TALL TREES ADMINISTRATORS CI Prof N N N N 88067 TALL TREES ADMINISTRATORS - INST CI Inst N N N N 41556 TAN MEDICAL GROUP WC Prof N N N N 37228 TARRANT HEALTH CI Inst N N N N 37228 TARRANT HEALTH SERVICES TX CI Prof N N N N TAYLR TAYLOR BENEFITS CI Prof N N N N 39157 TBG ADMINISTRATIVE SERVICES WI CI Prof N N N N 41556 TD TILE WC Prof N N N N 88019 TEACHERS HEALTH TRUST (CCEA) CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status ADSL1 TEAM CHOICE - ALPHA CARE GOLD CI Prof N N N N 75139 TEAM CHOICE GOLD CI Prof N N N N 75133 TEAM CHOICE PPO CI Inst N N N N 75133 TEAM CHOICE PPO CI Prof N N N N 75216 TEAM CHOICE UMC CI Prof N N N N 36215 TEAMCARE CI Inst N N N N 36215 TEAMCARE CI Prof N N N N 36215 TEAMCARE CI Prof N N N N WT008 TEAMSTER CONSTRUCTION INDUSTRY WELFARE TRUST CI Dental N N N N 88054 TEAMSTERS (UTIDMT) GROUP BENEFIT ADMIN CI Prof N N N N 94304 TEAMSTERS BENEFIT TRUST CI Inst N N N N 94304 TEAMSTERS BENEFIT TRUST CI Prof N N N N TPC97 TEAMSTERS LOCAL 1205 WELFARE FU CI Dental N N N N TPC94 TEAMSTERS LOCAL 531 CI Dental N N N N TPC95 TEAMSTERS LOCAL 945 CI Dental N N N N TPC96 TEAMSTERS LOCAL 966 CI Dental N N N N MC390 TENNCARE MEDICAID TN MC Prof N Y N Y MC390 TENNCARE MEDICAID - INST TN MC Inst N N N Y 37293 TENNESSEE BENEFIT ADMINISTRATORS CI Prof N N N N 37293 TENNESSEE BENEFIT ADMINISTRATORS, LLC CI Inst N N N N 76045 TEXAN PLUS (HOUSTON BEAUMONT) TX CI Prof N Y N Y A0235 TEXAS A AND M WC Prof N N N N A0234 TEXAS ASSOCIATION OF SCHOOL BOARDS WC Prof N N N N J1581 TEXAS BUILDERS INSURANCE CO WC Prof N N N N J1581 TEXAS BUILDERS INSURANCE CO (AUTO ONLY) AM Prof N N N N 76048 TEXAS CHILDRENS HEALTH PLAN (CHIP) TX CI Prof N N N Y 76048 TEXAS CHILDRENS HEALTH PLAN (CHIP) - INST TX CI Inst N N N N 75228 TEXAS CHILDRENS HEALTH PLAN (STAR) TX MC Prof N Y N Y TXCSM TEXAS CHILDRENS STAR MEDICAID TX CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 45210 TEXAS CHRISTUS CI Prof N N N N 45210 TEXAS CHRISTUS - MEDICAID TX CI Prof N Y N N 77045 TEXAS COMMUNITY CARE THRU DOS 12-31-2012 CI Prof N N N N TX1ST TEXAS FIRST HEALTH PLANS TX CI Prof N N N N 13185 TEXAS FIRST HEALTH PLANS (NORTH TX) TX CI Prof N N N N 76046 TEXAS FIRST HEALTH PLANS (TOPA) TX CI Prof N Y N N 76046 TEXAS FIRST HEALTH PLANS (TOPA) INST TX CI Inst N N N N 86916 TEXAS HEALTH STEPS TX MC Prof N Y N N THS01 TEXAS HEALTHSPRING TX CI Prof N N N N THS01 TEXAS HEALTHSPRING INST TX CI Inst N N N N TMA11 TEXAS MEDICAL ASSN INSURANCE TRUST CI Prof N N N N 74214 TEXAS MUNICIPAL LEAGUE TML (COMMERCIAL) TX CI Prof N N N Y 74214 TEXAS MUNICIPAL LEAGUE TML (COMMERCIAL) INST TX CI Inst N N N N 22945 TEXAS MUTUAL INSURANCE WC Prof N N N N A0245 TEXAS MUTUAL LEAGUE (TML) WC Prof N N N N TXP11 TEXAS PLAN ADMINISTRATORS TPA CONTACT DEBBIE MORALES AT TX CI Prof N N N N J1921 TEXAS POLITICAL SUBDIVISIONS JSIF WC Prof N N N N J1676 TEXAS ROADHOUSE, INC WC Prof N N N N J1676 TEXAS ROADHOUSE, INC (AUTO ONLY) AM Prof N N N N J1110 TEXAS SMALL BUSINESS POOL WC Prof N N N N UPGUT TEXAS UNIVERSITY HEALTH PLAN UPG COMMERCIAL TX CI Prof N N N N TBGNE THE BENEFIT GROUP, INC CI Prof N N N N TBGNE THE BENEFIT GROUP, INC - INST CI Inst N N N N 68423 THE CARE NETWORK AKA SAVANNAH BUSINESS GROUP CI Prof N N N N 74227 THE CHESAPEAKE LIFE INSURANCE COMPANY - STUDENT INSURANCE CI Dental N N N N BCMH1 THE CHILDREN WITH MEDICAL HANDICAPS PROGRAM (BCMH) OH MC Prof N Y N Y TDN01 THE DENTAL NETWORK (IN STATE DENTISTS ONLY) CI Dental N N N N TDN02 THE DENTAL NETWORK (OUT OF STATE DENTISTS -- NOT IN MD OR DC) CI Dental N N N N 28777 THE EPOCH GROUP CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 28777 THE EPOCH GROUP - INST CI Inst N N N N J1671 THE GAP, INC WC Prof N N N N J1671 THE GAP, INC (AUTO ONLY) AM Prof N N N N 16126 THE GUARDIAN CHOICE CI Inst N N N N J1422 THE HARTFORD WC Prof N N N N 20356 THE HEALTH EXCHANGE CI Prof N N N N 34150 THE HEALTH PLAN (MASSILLON, OHIO AND ST CLAIRSVILLE, OHIO) CI Prof N Y N N 34150 THE HEALTH PLAN - INST CI Inst N N N N 35206 THE HEALTHCARE GROUP CI Inst N N N N 35206 THE HEALTHCARE GROUP CI Prof N N N N 58200 THE INTEGRITY BENEFIT GROUP, INC CI Inst N N N N 58200 THE INTEGRITY BENEFIT NETWORK, INC (MARRIETA, GA) CI Prof N N N N 23223 THE LOOMIS COMPANY - TPA (IHS GATEWAY) CI Prof N Y N Y 23223 THE LOOMIS COMPANY - TPA (IHS GATEWAY) INST CI Inst N N N Y 59227 THE MEGA LIFE HEALTH - OKLAHOMA CITY CI Prof N Y N N 74227 THE MEGA LIFE HEALTH INSURANCE COMPANY - STUDENT INSURANCE CI Dental N N N N 59227 THE MEGA LIFE HEALTH INSURANCE COMPANY-OKC CI Inst N N N N J1615 THE MEN'S WEARHOUSE, INC WC Prof N N N N J1615 THE MEN'S WEARHOUSE, INC (AUTO ONLY) AM Prof N N N N 70491 THE MUTUAL GROUP CI Prof N N N N 70491 THE MUTUAL GROUP (US) CI Inst N N N N 70491 THE MUTUAL GROUP TMG LIFE INSURANCE GROUP CI Prof N Y N N 13522 THE PERFECT HEALTH INSURANCE COMPANY CI Inst N N N N CX025 THE PHYSICIANS ASSURANCE CORP - TPAC CI Prof N N N N 68241 THE PRUDENTIAL CI Inst N N N N J1472 THE SALVATION ARMY WC Prof N N N N J1111 THE SCOTTS COMPANY WC Prof N N N N 38200 THE WELLNESS PLAN CI Prof N N N N 38200 THE WELLNESS PLAN CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 13269 THE ZENITH WC Prof N N N N THERA THERAPHYSICS CI Prof N N N N COTHE THERAPHYSICS PACIFICARE COLORADO ONLY CO CI Prof N N N N J1831 THERAPY DIRECT WC Prof N N N N 6131 THIRD PARTY CLAIMS CI Inst N N N N 6131 THIRD PARTY CLAIMS MANAGEMENT CI Prof N N N N SC315 THOMAS COOPER AND CO - BCBSSC CI Prof N N N N SC315 THOMAS COOPER AND CO - BCBSSC - INST CI Inst N N N N J1746 THOMAS MCGEE WC Prof N N N N J1746 THOMAS MCGEE (AUTO ONLY) AM Prof N N N N 41556 THOMAS STAFFING SERVICES, INCVENTURI STAFFING WC Prof N N N N MP340 THREE RIVERS PREFERRED CI Prof N N N N THRIV THRIVENT FINANCIAL CI Prof N N N N TIC99 TIC INTERNATIONAL CI Prof N N N N TIC01 TIC INTERNATIONAL, INC CI Dental N N N N J1392 TIDEWATER MARINE WESTERN WC Prof N N N N J1392 TIDEWATER MARINE WESTERN (AUTO ONLY) AM Prof N N N N TLC01 TLC ADVANTAGE OF SIOUX FALLS SD CI Prof N N N N TLC79 TLC BENEFIT SOLUTIONS CI Prof N N N Y TLC79 TLC BENEFIT SOLUTIONS - INST CI Inst N N N N 70491 TMG LIFE INSURANCE COMPANY CI Inst N N N N 74214 TML INTERGOVERNMENTAL EMPLOYEE BENEFITS POOL TX CI Prof N N N Y WITH1 TODAYS HEALTH CI Inst N N N N WITH1 TODAYS HEALTH CI Prof N Y N N 48055 TODAYS OPTION - PYRAMID BENEFITS CI Prof N Y N Y 48055 TODAYS OPTION - PYRAMID BENEFITS - INST CI Inst N N N Y TOPTN TODAYS OPTIONS MEDICARE ADVANTAGE (PYRAMID LIFE) CI Prof N Y N Y TOPTN TODAYS OPTIONS MEDICARE ADVANTAGE (PYRAMID LIFE) INST CI Inst N N N Y AFL01 TOLEDO PUBLIC SCHOOLS CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 92620 TONGASS TIMBER TRUST AK CI Prof N N N N 92620 TONGASS TIMBER TRUST - INST CI Inst N N N N J1537 TOPA INSURANCE COMPANY CA WC Prof N N N N 41556 TOPANGA ROSCOE CORP WC Prof N N N N THIPA TORRANCE HOSPITAL IPA CA CI Inst N N N N THIPA TORRANCE HOSPITAL IPA CA CI Prof N N N N TCARE TOTAL CARE NEW YORK NY CI Prof N N N N TCS01 TOTAL CLAIMS SOLUTIONS CI Dental N N N N TCS99 TOTAL CLAIMS SOLUTIONS CI Prof N N N N TCS99 TOTAL CLAIMS SOLUTIONS CI Prof N N N N 38201 TOTAL HEALTH CARE MICHIGAN MI CI Prof N N N N 38201 TOTAL HEALTH CARE MICHIGAN INST MI CI Inst N N N N 38202 TOTAL HEALTH CHOICE FLORIDA FL CI Prof N N N N 39202 TOTAL HEALTH CHOICE FLORIDA INST FL CI Inst N N N N J1112 TOTAL PETROLEUM, INC WC Prof N N N N 41202 TOTAL PLAN SERVICES CI Prof N N N Y 41202 TOTAL PLAN SERVICES - INST CI Inst N N N N 23856 TOUCHSTONE HEALTH PSO CI Prof N N N N 23856 TOUCHSTONE PSO CI Prof N N N N 23856 TOUCHSTONE PSO INST CI Inst N N N N J1604 TOWER ENERGY GROUP WC Prof N N N N J1604 TOWER ENERGY GROUP (AUTO ONLY) AM Prof N N N N 69493 TOWER LIFE INSURANCE CO CI Inst N N N N J1668 TOWN OF COLMA (CA) WC Prof N N N N J1668 TOWN OF COLMA (CA) (AUTO ONLY) AM Prof N N N N TXP11 TPA (TEXAS PLAN ADMINISTRATORS) TX CI Prof N N N N 37230 TR PAUL INC CI Inst N N N N 37230 TR PAUL, INC CI Prof N N N N J1505 TRACTOR SUPPLY COMPANY WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status TFLIC TRANSAMERICA FINANCIAL LIFE INS CO (HURST TX) CI Prof N Y N N TFLIC TRANSAMERICA FINANCIAL LIFE INS CO (HURST TX) - INST CI Inst N N N N TLIN7 TRANSAMERICA FINANCIAL LIFE INS CO (PLANO TX) CI Prof N N N N TLIN5 TRANSAMERICA LIFE INS CO (CEDAR RAPIDS IA) CI Prof N N N N TLIN2 TRANSAMERICA LIFE INS CO (HURST TX) CI Prof N N N N TLINS TRANSAMERICA LIFE INS CO (LITTLE ROCK AR) CI Prof N N N N TLINS TRANSAMERICA LIFE INS CO (LITTLE ROCK AR) - INST AR CI Inst N N N N 20807 TRANSCHOICE - FIRST ADMINISTRATOR'S CI Prof N N N N 20807 TRANSCHOICE - FIRST SERVICE ADMINISTRATORS CI Prof N N N N 37284 TRANSCHOICE KBA CI Prof N N N N 37284 TRANSCHOICE KEY BENEFIT ADMINISTRATORS CI Prof N N N N 37284 TRANSCHOICE KEY BENEFIT ADMINISTRATORS - INST CI Inst N N N N TRAN1 TRANSWESTERN CI Prof N N N N C1032 TRAVELERS AUTO MEDICAL AM Prof N N N N 87726 TRAVELERS HEALTH NETWORK CI Prof Y N N Y 87726 TRAVELERS INST CI Inst N N N Y 19046 TRAVELERS WORK COMP WC Prof N N N N 87726 TRAVELERSCGT CI Prof N N N N 41556 TRI-CITY HEALTHCARE DISTRICT WC Prof N N N N 41556 TRI-CITY LINEN SUPPL WC Prof N N N N J1477 TRI-STATE INSURANCE COMPANY WC Prof N N N N 20538 TRI-VALLEY MEDICAL GROUP CI Prof N N N N 39181 TRIAD HEALTHCARE CI Prof N N N N 31118 TRIBUTE SELECTCARE OF OKLAHOMA OK CI Prof N N N N 31118 TRIBUTE HEALTH PLAN FKA CENTRAL BENEFITS CI Prof N N N N 31118 TRIBUTE HEALTH PLAN FKA CENTRAL BENEFITS - INST CI Inst N N N N CX002 TRICARE DENTAL PLAN (UCCI) CI Dental N N N N TDFIC TRICARE FOR LIFE CI Prof N Y Y Y TDFIC TRICARE FOR LIFE - INST CI Inst N N Y Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 38520 TRICARE NORTH AND SOUTH REGION - INST CI Inst N N Y Y 38520 TRICARE NORTH REGION - PGBA CI Prof N Y Y Y 38520 TRICARE SOUTH REGION - PGBA CI Prof N Y Y Y 99726 TRICARE WEST - UHC CI Prof N Y Y Y 99726 TRICARE WEST - UHC - INST CI Inst N N Y Y WESTR TRICARE WEST REGION INST THRU DOS 03-31-2013 CI Inst N N Y Y PDT01 TRICITIES IPA CA CI Prof N N N N 41556 TRICITY UNIFORM WC Prof N N N N 68069 TRILLIUM MEDICARE ADVANTAGE 2016 OR CI Prof N N N Y J1674 TRILLIUM STAFFING SOLUTIONS WC Prof N N N N J1674 TRILLIUM STAFFING SOLUTIONS (AUTO ONLY) AM Prof N N N N 62777 TRILOGY NETWORK CI Prof N N N N 62777 TRILOGY NETWORK INST CI Inst N N N N IP060 TRINIDAD RANCHERIA CA CI Prof N N N N C1030 TRINITY UNIVERSAL INSURANCE AM Prof N N N N 11983 TRIPLE A (AUTO ONLY) AM Prof N N N N PR973 TRIPLE-S (BCBS PUERTO RICO) PR CI Prof N Y Y Y PR973 TRIPLE-S (BCBS PUERTO RICO) - INST PR CI Inst N N N N 973MA TRIPLE-S MEDICARE ADVANTAGE (AHM) PR MB Prof N N N Y 12M15 TRISPAN HEALTH SERVICES MO CI Inst N N N N 42137 TRISTAR FKA SELECT BENEFIT ADMIN IA CI Prof N N N N 42137 TRISTAR FKA SELECT BENEFIT ADMIN - INST IA CI Inst N N N N 31144 TRISTATE BENEFIT SOLUTIONS CI Prof N N N N 34185 TRISURANT - FKA HAS CI Prof N N N N C1034 TRUCK INSURANCE EXCHANGE (AUTO ONLY) AM Prof N N N N C1040 TRUMBALL INSURANCE COMPANY AM Prof N N N N 91078 TRUSTEED PLANS SERVICE CORPORATION CI Prof N N N Y 91078 TRUSTEED PLANS SERVICE CORPORATION (TACOMA, WA) CI Prof N N N N 91078 TRUSTEED PLANS SERVICE CORPORATION - INST CI Inst N N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 61425 TRUSTMARK INSURANCE - INST CI Inst N N N Y 61425 TRUSTMARK INSURANCE INCL STARMARK CI Prof N Y N Y 76054 TTPA COMM CI Prof N N N N 76054 TTPA COMM CI Inst N N N N THA01 TUALITY HEALTH ALLIANCE CI Prof N N N N 41556 TUCSON UNIFIED SCHOOL DIST WC WC Prof N N N N 4298 TUFTS ASSOCIATED HEALTH PLAN CI Prof N Y Y Y C1040 TWIN CITIES FIRE INSURANCE CO AM Prof N N N N 76048 TX CHILDREN HEALTH PLAN TX CI Prof N N N N UPGUT TX UNIVERSITY HEALTH PLAN UPG COMMERCIAL TX CI Prof N N N N 75206 TXEN ALTPROS TX CI Prof N N N N OBAPL UA 125 HEALTH AND WELFARE PLAN CI Prof N N N N PAPER UB04 PRINT TO PAPER WITH MHS IDS CI Inst N N N N PAPER UB92 PRINT TO PAPER CI Inst N N N N 87726 UBH UNITED BEHAVIORAL HEALTH CI Prof Y N N Y 68241 UC CARE CI Inst N N N N 52629 UCARE MINNESOTA MN CI Prof N Y N Y CX014 UCARE MINNESOTA DENTAL CI Dental N N N N 52629 UCARE MINNESOTA INST MN CI Inst N N N Y TPC98 UCE OF FIT WELFARE FUND CI Dental N N N N UMSBP UCLA MEDICAL GROUP (UMSBP) CI Prof N N N N 56001 UCS - CITY OF EAST CHICAGO CI Prof N N N N 65006 UCSFCSL PULMONARY CI Prof N N N N UFW01 UFCW LOCAL 1 CI Dental N N N N A5205 UFCW LOCAL 400-5205 CI Dental N N N N UFC01 UFCW OF CENTRAL OHIO CI Dental N N N N UFC02 UFCW OF CLEVELAND CI Dental N N N N 99026 UHA - UNIVERSITY HEALTH ALLIANCE HAWAII HI CI Prof N N N Y 87726 UHC - UNITED HEALTHCARE CI Prof Y Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status GP133 UHC DENTAL GOVERNMENT PROGRAMS CI Dental N N N N 87726 UHC MIDWEST MEDICARE COMPLETE CI Prof Y N N Y 86049 UHC OF PENNSYLVANIA FKA AMERICHOICE PA MEDICAID PA CI Prof N N N Y 74227 UHC STUDENT RESOURCES CI Prof Y N N N 75240 UICI - ADMINISTRATORS CI Inst N N N N 75245 UICI ADMINISTRATORS CI Inst N N N N 75245 UICI-ADMINISTRATORS - ST OF NEVADA NV CI Prof N N N N J1941 UK UNIVERSITY HEALTH SERVICE WC WC Prof N N N N 77022 ULTIMATE HEALTH PLAN CI Prof N Y N N 41206 ULTRA BENEFITS INC CI Prof N N N Y 75130 UMC HEALTH PLAN CI Prof N N N N 95266 UMR - HARRINGTON CI Prof N N N N 95266 UMR - HARRINGTON - INST CI Inst N N N N 62061 UMR - KANSAS FKA FISERV HEALTH CI Inst N N N N 62061 UMR - KANSAS FKA FISERV HEALTH CI Prof N N N N 79480 UMR - MIDWEST SECURITIES CI Prof N N N N 79480 UMR - MIDWEST SECURITIES INST CI Inst N N N N 39026 UMR - WAUSAU BENEFITS CI Prof N Y N Y 39026 UMR - WAUSAU BENEFITS - INST CI Inst N N N Y 39026 UMR WAUSAU DENTAL CI Dental N N N N 52180 UMWA HEALTH RETIREMENT FUND CI Prof N N N Y 52180 UMWA HEALTH RETIREMENT FUND - INST CI Inst N N N Y TP108 UNDERWRITERS SAFETY AND CLAIMS WC Prof N Y N N 80314 UNICARE CI Inst Y N N Y 80314 UNICARE CI Prof Y Y N Y 80314 UNICARE DENTAL CI Dental N N N N 80314 UNICARE GIC INDEMNITY PLAN CI Prof N N N N 80314 UNICARE MEDICAID MC Prof Y N N Y 80314 UNICARE OF TEXAS HMO CI Inst Y N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 80314 UNICARE OF TEXAS HMO CI Prof Y N N Y TX314 UNICARE TEXAS HEALTH STEPS TX MC Prof Y N N Y 35198 UNIFIED GROUP SERVICES CI Prof N N N Y TLA03 UNIFIED GROUP SERVICES DENTAL CI Dental N N N N 62170 UNIFIED HEALTH SERVICES CI Inst N N N N 62170 UNIFIED HEALTH SERVICES CI Prof N N N N 34638 UNIFIED PHYSICIANS NETWORK CI Prof N N N N J1484 UNIGARD INSURANCE COMPANY - QBE DBA WC Prof N N N N 52133 UNIMERICA DENTAL CI Dental N N N N J1629 UNION CONSTRUCTION WORKERS' COMP PROGRAM WC Prof N N N N J1629 UNION CONSTRUCTION WORKERS' COMP PROGRAM (AUTO ONLY) AM Prof N N N N PR046 UNION DE CARPINTEROS PR CI Prof N N N N J1274 UNION INSURANCE COMPANY WC Prof N N N N 25844 UNION INSURANCE COMPANY OF PROVIDENCE WC Prof N N N N C1029 UNION INSURANCE COMPANY OF PROVIDENCE AM Prof N N N N 87042 UNION PACIFIC RAILROAD EMPLOYEES (UPREHS) CI Prof N Y N N 87042 UNION PACIFIC RAILROAD EMPLOYEES (UPREHS) - INST CI Inst N N N N 70408 UNION SECURITY INSURANCE CI Prof N Y N N 52133 UNIQUE DENTACARE CI Dental N N N N 25175 UNISON - THREE RIVERS HEALTH PLAN THRU 2-28-2014 CI Prof Y N N N 25175 UNISON DENTAL CI Dental N N N Y CX014 UNISON HEALTH PLAN CI Dental N Y N N UAGBT UNITED AGRICULTURAL BENEFIT TRUST CA CI Prof N N N N 87726 UNITED BEHAVIORAL HEALTH CI Prof Y Y N Y 87726 UNITED BEHAVIORAL HEALTH CI Prof Y N N Y 59069 UNITED BENEFITS CI Prof N N N N 59069 UNITED BENEFITS INST CI Inst N N N N 20090 UNITED CLAIM SOLUTIONS CI Prof N N N N 58600 UNITED CLAIMS SOLUTIONS TIFT REGIONAL CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CX002 UNITED CONCORDIA (TRICARE FMDP) CI Dental N N N N CX013 UNITED CONCORDIA DENTAL PLUS CI Dental N N N N CB865 UNITED CONCORDIA- FEDERAL CLAIMS (CB865) CI Dental N N N N Z9901 UNITED CONCORDIA- NON-PAR CI Dental N N N N CX007 UNITED CONCORDIA-FEE FOR SERVICE CI Dental N N N N 41556 UNITED CONVALESCENT WC Prof N N N N 70408 UNITED DENTAL - TEXAS TX CI Dental N N N N J1048 UNITED DOMINION REALTY TRUST WC Prof N N N N J1401 UNITED FIRE WC Prof N N N N J1401 UNITED FIRE (AUTO ONLY) AM Prof N N N N 21850 UNITED FOOD COMMERCE WRKRS LOCAL 1529 CI Prof N N N N UFWIF UNITED FURNITURE WORKERS INSURANCE CI Prof N N N N UGP19 UNITED GROUP PROGRAMS CI Prof N N N N UGP19 UNITED GROUP PROGRAMS - INST CI Inst N N N N 87726 UNITED HEALTHCARE CI Prof Y Y N Y 87726 UNITED HEALTHCARE FKA JOHN DEERE HEALTH CARE TN CI Prof N N N Y 87726 UNITED HEALTHCARE GROUP CI Prof Y Y N Y 87726 UNITED HEALTHCARE GROUP CI Prof Y Y N Y 87726 UNITED HEALTHCARE HERITAGE CI Prof N N N Y 87726 UNITED HEALTHCARE INST CI Inst Y Y N Y 87726 UNITED HEALTHCARE MEDICARE COMPLETE CI Prof Y Y N Y 87726 UNITED HEALTHCARE OF COLORADO CO CI Prof N N N Y 87726 UNITED HEALTHCARE OF FLORIDA FL CI Prof Y N N Y 87726 UNITED HEALTHCARE OF GEORGIA GA CI Prof Y N N Y 87726 UNITED HEALTHCARE OF NEW YORK NY CI Prof N N N Y 87726 UNITED HEALTHCARE OF OHIO OH CI Prof Y N N Y 87726 UNITED HEALTHCARE OF THE MIDLANDS HMO CI Prof Y N N Y 87726 UNITED HEALTHCARE OF THE MIDWEST CHOICE CI Prof Y N N Y 87726 UNITED HEALTHCARE OF UTAH UT CI Prof Y N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CX014 UNITED HEALTHCARE OF WISCONSIN CI Dental N N N N 31107 UNITED MEDICAL RESOURCES - UMR CI Prof N N N Y 33108 UNITED MEDICAL RESOURCES - UMR - DENTAL CI Dental N N N N 31107 UNITED MEDICAL RESOURCES - UMR - INST CI Inst N N N Y MUT UNITED OF OMAHA CI Inst N N N N 71412 UNITED OF OMAHA CI Prof N N N N TEMU1 UNITED OF OMAHA (MUST HAVE UCCI LISTED ON BACK OF ID CARD) CI Dental N N N N 71412 UNITED OF OMAHA - INST CI Inst N N N N 84132 UNITED PHYSICIANS OF NORTHERN COLORADO CI Prof N N N N 81108 UNITED SECURITY LIFE AND HEALTH CI Prof N N N N J1113 UNITED STATES COLD STORAGE WC Prof N N N N 13545 UNITED STATES LIFE INSURANCE COMPANY CI Prof N N N N 13193 UNITED TEACHER ASSOC INSURANCE COMPANY (MEDICARE SUPPLEMENT) CI Prof N Y N N J1235 UNITED WISCONSIN INSURANCE COMPANY WC Prof N N N N J1235 UNITED WISCONSIN INSURANCE COMPANY (AUTO ONLY) AM Prof N N N N 87726 UNITEDHEALTHCARE COMMUNITY PLAN CI Prof Y Y N Y 25175 UNITEDHEALTHCARE COMMUNITY PLAN (UNISON) THRU 2-28-2014 CI Prof Y N N N 3432 UNITEDHEALTHCARE COMMUNITY PLAN AZ (APIPA) AZ CI Prof Y Y N Y 3432 UNITEDHEALTHCARE COMMUNITY PLAN AZ (APIPA) - INST AZ CI Inst N N N Y 87726 UNITEDHEALTHCARE COMMUNITY PLAN DE,MD,OH,PA CI Prof Y Y N Y 25175 UNITEDHEALTHCARE COMMUNITY PLAN DE,PA (UNISON) THRU 2-28-2014 CI Inst N N N N 87726 UNITEDHEALTHCARE COMMUNITY PLAN DE,PA BEG 03-01-2014 CI Inst Y N N Y 87726 UNITEDHEALTHCARE COMMUNITY PLAN IOWA IA CI Prof N N N Y 96385 UNITEDHEALTHCARE COMMUNITY PLAN KANSAS (KANCARE) KS CI Prof N Y N Y 96385 UNITEDHEALTHCARE COMMUNITY PLAN KANSAS (KANCARE) INST KS CI Inst N N N N 95467 UNITEDHEALTHCARE COMMUNITY PLAN MI (GREAT LAKES) MI CI Prof N Y N Y 95467 UNITEDHEALTHCARE COMMUNITY PLAN MI (GREAT LAKES) INST CI Inst N N N N 87726 UNITEDHEALTHCARE COMMUNITY PLAN MISSISSIPPI MS CI Prof N N N Y 87726 UNITEDHEALTHCARE COMMUNITY PLAN NEW YORK NY CI Prof Y N N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 86047 UNITEDHEALTHCARE COMMUNITY PLAN NJ - INST NJ CI Inst N N N Y 86047 UNITEDHEALTHCARE COMMUNITY PLAN NJ FKA AMERICHOICE NJ CI Prof N Y N Y 25175 UNITEDHEALTHCARE COMMUNITY PLAN SC (FKA UNISON) SC CI Prof Y Y N Y 95378 UNITEDHEALTHCARE COMMUNITY PLAN TN TENNCARE TN CI Prof N Y N Y 95378 UNITEDHEALTHCARE COMMUNITY PLAN TN TENNCARE - INST TN CI Inst N N N Y 52133 UNITEDHEALTHCARE DENTAL CI Dental N N N N 39026 UNITEDHEALTHCARE INTEGRATED SERVICES (UHIS) CI Prof N N N Y 39026 UNITEDHEALTHCARE INTEGRATED SERVICES (UHIS) - INST CI Inst N N N Y 87726 UNITEDHEALTHCARE OF THE RIVER VALLEY TN CI Prof N Y N Y 87726 UNITEDHEALTHCARE OF THE RIVER VALLEY - INST CI Inst N N N Y 87726 UNITEDHEALTHCARE WEST (FKA PACIFICARE AZ, CO) CI Prof N Y N Y 87726 UNITEDHEALTHCARE WEST (FKA PACIFICARE CA, OK, OR, TX, WA) CI Prof N Y N Y 81400 UNITEDHEALTHONE CI Prof Y Y N Y C1030 UNITRIN AUTO AND HOME INSURANCE AM Prof N N N N C1030 UNITRIN DIRECT AUTO INSURANCE AM Prof N N N N 16063 UNITRIN DIRECT PROPERTY AND CASUALTY COMPANY (AUTO ONLY) AM Prof N N N N C1030 UNITRIN SAFEGUARD INSURANCE AM Prof N N N N 66705 UNITY HEALTH INSURANCE CI Prof N N N N AMS01 UNITY PRECISION HEALTH PLANS CI Prof N Y N N 16107 UNIVERA HEALTHCARE HMO CI Prof N Y N Y UNINW UNIVERA HEALTHCARE PPO CI Prof N Y Y Y 16105 UNIVERA OF NEW YORK CI Dental N N N N TRP1E UNIVERSAL BENEFIT CORP CI Prof N Y N N 33001 UNIVERSAL CARE CALIFORNIA CA CI Prof N Y N N 33001 UNIVERSAL CARE CALIFORNIA - INST CI Inst N N N N 9830 UNIVERSITY FAMILY CARE - UNIV OF ARIZONA AZ CI Prof N Y N Y 9830 UNIVERSITY FAMILY CARE - UNIV OF ARIZONA INST AZ CI Inst N N N N 58248 UNIVERSITY HEALTH PLAN CI Prof N N N N 58248 UNIVERSITY HEALTH PLAN CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status CX014 UNIVERSITY HEALTH PLAN (DORAL) CI Dental N N N N 58247 UNIVERSITY HEALTH PLAN MEDICAID INST CI Inst N N N N 45437 UNIVERSITY HEALTHCARE MARKETPLACE (UHM) AZ CI Prof N N N N 41556 UNIVERSITY OF COLORADO WC Prof N N N N 87043 UNIVERSITY OF MISSOURI CHOICE - COVENTRY MO CI Prof N Y N Y SX155 UNIVERSITY OF UTAH HEALTH PLANS UT CI Prof N N N Y 91136 UNIVERSITY OF WASHINGTON STUDENTS GRADUATE CI Inst N N N N 91136 UNIVERSITY OF WASHINGTON STUDENTS GRADUATE APPTS CI Prof N N N N 76053 UPG CHIP CI Inst N N N N 23281 UPMC HEALTH PLAN CI Prof N Y N Y 23281 UPMC HEALTH PLAN INST CI Inst N N N Y 25184 UPMC VISION ADVANTAGE CI Prof N N N N 25184 UPMC VISION ADVANTAGE - INST CI Inst N N N N 38337 UPPER PENINSULA HEALTH PLAN CI Inst N N N N 38337 UPPER PENINSULA HEALTH PLAN CI Prof N N N N TPC99 UPSEU CARLE PLACE SCHOOL DISTRICT CI Dental N N N N 93092 US BENEFITS OR CI Prof N N N Y 77044 US DEPARTMENT OF LABOR (USDOL) WC Prof N N Y Y 90551 US FAMILY HEALTH PLAN (USFHP) CI Prof N N N N 90551 US FAMILY HEALTH PLAN (USFHP) - INST CI Inst N N N N USFHP US FAMILY HEALTH PLAN (USFHP) - TEXAS AND LOUISIANA CI Prof N N N N 13407 US FAMILY HEALTH PLAN - NEW JERSEY CI Prof N N N N J1114 US FOODSERVICE, INC WC Prof N N N N 50383 US IMAGING NETWORK - NY CI Prof N N N N 41556 US MOBILE WIRELESS WC Prof N N N N J1115 US NATIONAL RESOURCES (AIGRM) WC Prof N N N N J1396 US STEEL WC Prof N N N N 74095 USAA (UNITED STATES AUTOMOBILE ASSN) CI Prof N Y N N 74095 USAA (UNITED STATES AUTOMOBILE ASSN) - INST CI Inst N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 76031 USABLE LIFE CI Dental N N N N 13407 USFHP - ST VINCENT CATHOLIC MEDICAL CENTERS OF NY CI Inst N N N N 23217 USI ADMINISTRATORS CI Prof N N N N UTICA UTICA CI Prof N N N N C1027 UTICA (AUTO ONLY) AM Prof N N N N EXC02 UTICA BLUE CROSS CI Dental N N N N 25976 UTICA MUTUAL INSURANCE CO WC Prof N N N N 43478 UTICA NATIONAL INSURANCE CO OF TEXAS WC Prof N N N N 36369 UTILIMED CI Prof N N N N UHSCH UTMB- CHOICEONE CHIP TX CI Prof N N N N 41556 V AND M RESTORATION WC Prof N N N N 12115 VA FEE BASIS PROGRAMS CI Prof N Y N Y 12115 VA FEE BASIS PROGRAMS - INST CI Inst N N N N VAFSC VA FINANCIAL SERVICES CENTER CI Inst N N N N VAFSC VA FINANCIAL SERVICES CENTER CI Prof N N N N WT001 VA SMILES FOR CHILDREN CI Dental N N N N 85578 VALENCE - INGALLS PROVIDER GROUP CI Prof N N N N 41556 VALENZUELA ENG INC WC Prof N N N N 82238 VALLEY BAPTIST ADVANTAGE CI Prof N N N N 82420 VALLEY BAPTIST HEALTH PLAN CI Prof N N N N 82420 VALLEY BAPTIST HEALTH PLAN INST CI Inst N N N N VCIPA VALLEY CARE IPA CA CI Prof N N N N 41556 VALLEY CASEWORK INC WC Prof N N N N TPC19 VALLEY CENTRAL TEACHERS ASSOCIATION CI Dental N N N N 41556 VALLEY HARVESTING AND PACKING, INC WC Prof N N N N 41556 VALLEY HEALTH CARE MANAGEMENT SERVICES, LLC WC Prof N N N N VHP01 VALLEY HEALTH PLAN (COMMERCIAL) CA CI Prof N Y Y N VHP02 VALLEY HEALTH PLAN (MEDI-CAL) CA CI Prof N N Y N 41556 VALLEY HEALTH SYSTEM WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 41556 VALLEY MEMORIAL HOSPITAL WC Prof N N N N IP044 VALLEY OF THE MOON CA CI Prof N N N N 23253 VALLEY PREFERRED PPO FKA SPECTRUM ADMIN CI Prof N Y N N V1001 VALUE OPTIONS COMMERCIAL CI Prof N N Y Y V1001 VALUE OPTIONS COMMERCIAL -INST CI Inst N N Y Y V1005 VALUE OPTIONS KANSAS KS CI Prof N N Y Y V1006 VALUE OPTIONS MARYLAND PUBLIC MENTAL HEALTH MD CI Prof N N Y Y V1003 VALUE OPTIONS MASS BEHAVIORAL HEALTH (MBHP) MA CI Prof N N Y Y V1004 VALUE OPTIONS PENN BEHAVIORAL HEALTH PA CI Prof N N Y Y V1002 VALUE OPTIONS TEXAS NORTHSTAR TX CI Prof N N Y Y 23173 VANDERBILT - VHP COMMUNITY CARE CI Prof N N N N 21172 VANLINERS INSURANCE COMPANY WC Prof N N N N 72128 VANTAGE HEALTH PLAN CI Prof N Y N Y 72128 VANTAGE HEALTH PLAN - INST CI Inst N N N N PPM01 VANTAGE MEDICAL GROUP CA CI Prof N N N N PPM02 VANTAGE MEDICAL GROUP - ENCOUNTERS CA CI Prof N N N N 68241 VARIAN HEALTH CARE CI Inst N N N N 60054 VARIAN HEALTH CARE PLAN CI Prof N N N Y 73288 VENCOR CI Prof N N N N J1917 VENSURE EMPLOYER SERVICES WC WC Prof N N N N 53172 VENTANA HEALTH SYSTEMS CI Prof N N N N 41556 VENTURE PAC DEVELOP WC Prof N N N N VMF01 VERITY MEDICAL FOUNDATION CI Prof N N N N 75256 VERITY NATIONAL GROUP CI Inst N N N N 75256 VERITY NATIONAL GROUP CI Prof N N N N J1118 VERMEER WC Prof N N N N 41556 VERTICAL CONCRETE WC Prof N N N N VESTA VESTA CARE CI Prof N N N N 243 VESTICA HEALTHCARE LLC CI Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 68021 VETERANS AFFAIRS PCCC REG 1-2-4 (HEALTH NET) CI Prof N N N N 68021 VETERANS AFFAIRS PCCC REG 1-2-4 (HEALTH NET) - INST CI Inst N N N N VAPC3 VETERANS AFFAIRS PCCC REGION 3 (TRIWEST) CI Prof N N Y Y VAPC3 VETERANS AFFAIRS PCCC REGION 3 (TRIWEST) INST CI Inst N N Y Y VAP5A VETERANS AFFAIRS PCCC REGION 5A (TRIWEST) CI Prof N N Y Y VAP5A VETERANS AFFAIRS PCCC REGION 5A (TRIWEST) INST CI Inst N N Y Y VAP5B VETERANS AFFAIRS PCCC REGION 5B (TRIWEST) CI Prof N N Y Y VAP5B VETERANS AFFAIRS PCCC REGION 5B (TRIWEST) INST CI Inst N N Y Y VAPC6 VETERANS AFFAIRS PCCC REGION 6 (TRIWEST) CI Prof N N Y Y VAPC6 VETERANS AFFAIRS PCCC REGION 6 (TRIWEST) INST CI Inst N N Y Y 23173 VHP COMMUNITY CARE CI Inst N N N N J1116 VICORP RESTAURANTS, INC WC Prof N N N N J1118 VICTOR PLASTICS WC Prof N N N N 41556 VICTORIA ISD WC Prof N N N N VFP11 VILLAGE FAMILY PRACTICE CI Prof N Y N N 26545 VILLAGECAREMAX CI Prof N N N N 26545 VILLAGECAREMAX - INST CI Inst N N N N VPCCP VIRGINIA PREMIER COMPLETECARE VA CI Prof N N Y Y VPCCI VIRGINIA PREMIER COMPLETECARE - INST CI Inst N N N N 54176 VIRGINIA PREMIER HEALTH PLAN VA CI Prof N Y Y Y VPN01 VIRGINIA PREMIER HEALTH PLAN (MC) VA MC Prof N Y Y Y CX014 VIRGINIA SMILES FOR CHILDREN CI Dental N N N N J1404 VIRGINIA SURETY COMPANY, INC WC Prof N N N N J1404 VIRGINIA SURETY COMPANY, INC (AUTO ONLY) AM Prof N N N N 86079 VISTA DEL SOL HEALTH CARE CI Prof N N N N 55248 VISTA HEALTH PLAN - MEDICAID FLORIDA FL CI Prof N Y N Y 55248 VISTA HEALTH PLAN - MEDICAID FLORIDA INST FL CI Inst N N N Y 41556 VISTA HILLS C CLUB WC Prof N N N N 63114 VIVA HEALTH PLAN CI Prof N Y N Y For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 63114 VIVA HEALTH PLAN - INST CI Inst N N N N 63114 VIVA MEDICARE PLUS CI Prof N Y N Y 77073 VNS CHOICE MEDICARE CI Prof N Y N Y 77073 VNS CHOICE MEDICARE - INST CI Inst N N N N 59266 VOLUSIA HEALTH NETWORK CI Prof N N N Y J1750 VONS SAFEWAY WC Prof N N N N J1750 VONS SAFEWAY (AUTO ONLY) AM Prof N N N N J1405 VOUGHT AIRCRAFT INDUSTRIES WC Prof N N N N 22264 VYTRA NY CI Prof Y Y N N 22264 VYTRA - INST CI Inst Y N N N 41556 W CO RADIOLOGY CNTR WC Prof N N N N 85256 WABASH MEMORIAL HOSPITAL ASSOCIATION CI Inst N N N N 85256 WABASH MEMORIAL HOSPITAL ASSOCIATION CI Prof N N N N J1004 WAL-MART WC Prof N N N N 41556 WASHINGTON COUNTY WC Prof N N N N 37294 WASHINGTON EMPLOYERS TRUST CI Prof N N N N 41556 WASHINGTON HOSPITAL WC Prof N N N N WC001 WASHINGTON STATE LABOR AND INDUSTRY WA WC Prof N N Y Y OBALB WATERLOO MUNICIPAL EMPLOYEES HEALTH PLAN CI Prof N N N N 73155 WATERSTONE BENEFIT ADMINISTRATOR (OKLAHOMA) CI Inst N N N N 73155 WATERSTONE BENEFIT ADMINISTRATORS (OKLAHOMA) CI Prof N N N N 58082 WATKINS ASSOCIATED INDUSTRIES CI Inst N N N N 58082 WATKINS ASSOCIATED INDUSTRIES, INC CI Prof N N N N 41556 WATKINS MANUFACTURING CORPORATION WC Prof N N N N MPM09 WATTS HEALTH CARE CA CI Prof N N N N 41556 WATTSHEALTH FOUNDATION, INC (SNCC) WC Prof N N N N 41556 WAWONA PACKING WC Prof N N N N 39151 WEA INSURANCE GROUP CI Inst N N N N 39151 WEA INSURANCE GROUP CI Prof N Y N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 75261 WEB TPA CI Prof N Y N N 75261 WEBTPACOMMUNITY HEALTH ELECTRONIC CI Inst N N N N 36337 WEISS HEALTH PROVIDERS CI Prof N N Y N 13337 WELL SENSE HEALTH PLAN (BMCHP) MA CI Prof N N N N WELL4 WELLCARE CMO GA MEDICAID GA CI Prof N Y N Y WELL4 WELLCARE CMO GA MEDICAID INST GA CI Inst N N N N 14163 WELLCARE CONNECTICUT CT CI Prof N N N Y CX014 WELLCARE DENTAL CI Dental N N N N 14163 WELLCARE HEALTH PLAN CI Prof N Y N Y 59354 WELLCARE HEALTH PLAN ENCOUNTER CI Prof N N N N 59354 WELLCARE HEALTH PLAN ENCOUNTER INST CI Inst N N N N 14163 WELLCARE HMO CI Inst N N N Y 14163 WELLCARE MANAGEMENT GROUP CI Prof N N N Y 14163 WELLCARE OF CONNECTICUT CT CI Prof N N N Y 14163 WELLCARE OF NEW YORK NY CI Prof N N N Y 77072 WELLCARE PFFS MEDICARE CI Inst N N N N 77072 WELLCARE PFFS MEDICARE CI Prof N N N N WELM2 WELLMED (CLAIMS) CI Prof N N N N WELM2 WELLMED (CLAIMS) - INST CI Inst N N N N 12053 WELLNET DENTAL CI Dental N N N N 25711 WELLNET HEALTH PLAN CI Prof N N N N 22334 WELLPATH OF CAROLINA INC HOS CI Inst N N N N 87815 WELLS FARGO TPA CI Prof N Y N N 87815 WELLS FARGO TPA - INST CI Inst N N N N 35245 WELLSYSTEMS LLC CI Prof N N N N 35245 WELLSYSTEMS LLC - INST CI Inst N N N N 22925 WELS BENEFIT PLAN OFFICE CI Prof N N N N 41556 WESLACO INDEPENDENT SCHOOL DISTRICT WC Prof N N N N 41556 WEST COAST HOSPITALS, INC WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 91136 WEST COAST STATIONARY ENGINEERS HEALTH CI Inst N N N N WCMG1 WEST COVINA MEDICAL GROUP CA CI Prof N N N N 41556 WEST OSO ISD WC Prof N N N N 80942 WEST SUBURBAN HEALTH PLAN (WSHP) CI Prof N N N N 41556 WEST TEXAS RURAL COUNTIES ASSOCIATION PREFERRED RISK POOL - WC WC Prof N N N N 45276 WEST VIRGINIA FAMILY HEALTH PLAN WV CI Prof N N N Y 45276 WEST VIRGINIA FAMILY HEALTH PLAN - INST WV CI Inst N N N N 41556 WESTAMERICAPHIL LONG DEALERSHIPS WC Prof N N N N IP026 WESTERN ARIZONA REGIONAL PHYSICIANS AZ CI Prof N N N N 24735 WESTERN GROWERS ASSURANCE TRUST CI Prof N N N N 24735 WESTERN GROWERS ASSURANCE TRUST - INST CI Inst N N N N 24735 WESTERN GROWERS INSURANCE COMPANY CI Prof N N N N 24735 WESTERN GROWERS INSURANCE COMPANY - INST CI Inst N N N N WEST WESTERN HEALTH PROVIDERS CI Inst N N N N 68039 WESTERN HEALTH ADVANTAGE CI Prof N N N N 68039 WESTERN HEALTH ADVANTAGE INST CI Inst N N N N 37247 WESTERN MUTUAL INSURANCE WMITPA CI Prof N N N N 37247 WESTERN MUTUAL INSURANCE WMITPA - INST CI Inst N N N N J1569 WESTERN NATIONAL ASSURANCE WC Prof N N N N J1569 WESTERN NATIONAL ASSURANCE (AUTO ONLY) AM Prof N N N N J1586 WESTERN NATIONAL INSURANCE PIONEER SPECIALTIES WC Prof N N N N J1586 WESTERN NATIONAL INSURANCE PIONEER SPECIALTIES (AUTO ONLY) AM Prof N N N N J1495 WESTERN NATIONAL INSURANCE GROUP WC Prof N N N N J1495 WESTERN NATIONAL INSURANCE GROUP (AUTO ONLY) AM Prof N N N N 31048 WESTERN SOUTHERN FINANCIAL GROUP (CINCINNATI) CI Prof N Y N N 31048 WESTERN SOUTHERN FINANCIAL GROUP (CINCINNATI) - INST CI Inst N N N N 91068 WESTERN TEAMSTER WELFARE TRUST CI Inst N N N N IP023 WESTGROVE MEDICAL GROUP CA CI Prof N N N N J1453 WESTGUARD INSURANCE COMPANY - GUARD DBA WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status 90560 WESTLAKE FINANCIAL GROUP INC CI Prof N N N N 38232 WEYCO - MERITIAN HEALTH CI Prof N N N N 33711 WILLAMETTE VALLEY COMM HEALTH PLAN CCO CI Prof N N Y N 41556 WILLAMETTE VIEW WC Prof N N N N 98010 WILLIAM J SUTTON COMPANY CI Prof N N N N 98010 WILLIAM J SUTTON COMPANY, LTD (TORONTO) CI Inst N N N N J1473 WILLIAMS SONOMA WC Prof N N N N 62061 WILLIS ADMINISTRATIVE SERVICES (UMR KANSAS) CI Prof N N N N WHLTH WILLOW HEALTH CI Prof N N N N WHLTH WILLOW HEALTH - INST CI Inst N N N N 41556 WILMER-HUTCHINS ISDDALLAS ISD WC Prof N N N N 41095 WILSON MCSHANE CI Prof N N N N 41095 WILSON MCSHANE INST CI Inst N N N N 62153 WINDSOR MEDICARE EXTRA DOS THRU 4-30-2014 CI Prof N Y N N 62153 WINDSOR MEDICARE EXTRA INST - DOS THRU 4-30-2014 CI Inst N N N N 27327 WINHEALTH PARTNERS CI Prof N N N N 39200 WISCONSIN AUTO AND TRUCK DEALERS CI Prof N N N N 41556 WOODLAND PARK WEST WC Prof N N N N WOA99 WOODMAN OF THE WORLD OMAHA WOODMAN CI Prof N N N N 20333 WORKSITE BENEFIT SERVICES - GA GA CI Prof N N N N 20333 WORKSITE BENEFIT SERVICES - GA - INST GA CI Inst N N N N 75276 WORLD INSURANCE COMPANY CI Inst N N N N 75276 WORLD INSURANCE COMPANY CI Prof N N N N 34080 WPPN CI Inst N N N N 235 WPS COMMERCIAL WI CI Prof N Y Y Y 23710 WRITERS GUILD INDUSTRY HEALTH PLAN CI Prof N N N N J1117 WYMAN-GORDON COMPANIES WC Prof N N N N CX014 XANTUS HEALTH PLAN-TENNESSEE (NASHVILLE, TN) CI Dental N N N N J1628 XCEL ENERGY WC Prof N N N N For questions, please contact EDI Support at [email protected] FOXFIRE SYSTEMS GROUP PAYER LIST
Real Time Payer Real Time Claim Enroll Payer ID Name State Format Claim ERA Type Eligibility Required Status J1628 XCEL ENERGY (AUTO ONLY) AM Prof N N N N J1412 XCHANGING, INC WC Prof N N N N J1055 XL ENVIRONMENTAL, INC WC Prof N N N N 60646 YALE UNIV HEALTH PLAN CI Prof N N N N 41556 YMCA WC Prof N N N N J1421 YORK CLAIM SERVICES WC Prof N N N N J1421 YORK CLAIM SERVICES (AUTO ONLY) AM Prof N N N N 34083 YOUNGSTOWN ELEC FUND HOSP CI Inst N N N N 15003 YOURCARE HEALTH PLAN (UNIVERA) NY CI Prof N N N N 30120 Z-NAT INSURANCE (ZENITH NATIONAL) WC Prof N N N N J1409 ZACHRY CONSTRUCTION WC Prof N N N N ZOOM1 ZOOM CI Prof N N N N J1015 ZURICH FARMERS WC Prof N N N N 16535 ZURICH INSURANCE NA WC Prof N N N N