CLEARINGHOUSE LIST the Following List Has Been Developed to Assist Providers in Finding the Electronic Media Claims System Best Suited to Their Needs
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TRICARE PGBA, LLC Government Programs Electronic Data Interchange Department 160 N. Dozier Blvd. Florence, South Carolina 29501 Phone: 800-259-0264, Option 1 TRICARE APPROVED HIPAA 5010 VENDOR/CLEARINGHOUSE LIST The following list has been developed to assist providers in finding the Electronic Media Claims system best suited to their needs. This list provides contact information for software vendors with approved TRICARE EMC capabilities with BlueCross and BlueShield of South Carolina (PGBA, LLC). Vendors must be approved through the TRICARE EMC testing process or have at least one provider submitting live TRICARE claims electronically through their system. This list is updated periodically and is subject to change between publications. This list should not be construed as a recommendation or sponsorship by BlueCross and BlueShield of South Carolina, PGBA, LLC, TRICARE, or the Defense Health Agency, for any of the organizations that appear on the list. Specific services and financial arrangements must be made between vendors and providers. PGBA, LLC will not be a party to any such arrangement. This listing is provided solely for your convenience. Electronic transactions include Institutional claims (837I), Professional claims (837P), Electronic Remittance Advice (835), Eligibility inquiry (270) and response (271), Claim status inquiry (276) and response (277). If you have questions, contact the PGBA, EDI Help Desk at 800-259-0264, Option 1. AdminisTEP, LLC (837, 270/271, 276/277) HealthSmart / Care Vu Corporation (837P, 835) 4965 Preston Park Blvd, Ste 600 2002 W Loop 289 Plano, TX 75093 Lubbock, TX 79407 214-440-3100 888-744-6638 [email protected] [email protected] Athenahealth, Inc Change Healthcare (formerly Emdeon) 311 Arsenal Street (837I, 837P, 835) Watertown, MA 02472 15 Century Blvd (617) 402-1000 Nashville, TN 37214 [email protected] 877-469-3263 Automated Office Systems, INC Claimlogic, LLC (837P, 835) 303 Merrick Road 3535 NW 58th Street Lynbrook, NY 11563 Oklahoma City, OK 73120 510-396-5555 866-252-4656 Availity, LLC (837I, 837P) ClaimLynx, Inc. (837I, 837P, 835, 270/271) 7751 Belfort Parkway, Ste 350 5206 Station Way Jacksonville, FL 32256 Sarasota, FL 34233 800-AVAILITY (282-45489) 952-593-5969 [email protected] AXIOM Systems, INC 241 East 4th Street, Suite 200 ClaimMD (837I, 837P, 835, 270/271, 276/277) Frederick, MD 21701 PO Box 1177 602-439-2525 Pecos, NM 87552 855-757-6060 [email protected] PGBA, LLC Page 1 June 2021 TRICARE Active Vendor List CLAIMREMEDI / INTELLECLAIM (837I, Emergency Physicians Billing Service / 837P, 835) Intermedix (837P) 422 Larkfield Center #282 3303 S Meridian Ave Santa Rosa CA 95403 Oklahoma City, OK 73119 800-763-8484 800-962-3303 Cortex EDI, Inc (837P) ET&T (837P) 1522 N Raymond Ave 712 E Southern Ave Fullerton, CA 92831 Mesa, AZ 85208 800-485-5677 877-463-8705 [email protected] eProvider Solutions (837I. 837P, 835) CPSI (837I, 837P, 835) 5024 Burr Oak Place #211 6600 Wall Street Sioux Falls, SD 57108 Mobile, AL 36695 605-323-0800 800-711-CPSI (2774) [email protected] Crowell Systems (837P) G4 Health Systems 4232 South Stream Blvd, Ste 100 7380 South Olympia, # 359 Charlotte, NC 28217 Tulsa, OK 74132 704-665-2000 888-486-7455 EHealthClaim.net (837I, 837P, 835) Gateway EDI (270/271, 837I, 837P, 835) 8440 Woodfield Crossing Blvd, Ste 320 501 North Broadway, Third Floor Indianapolis, IN 46240 St. Louis, MO 63102 877-881-7484 800-969-3666 Electronic Data Systems - EDS (837I, 837P) Genesis Health Systems (837I, 837P) 402 Otterson Drive 1227 E. Rusholme Street Chico, CA 95928 Davenport, IA 52803 877-772-4450 563-421-1000 Electronic Network Systems\ OptumInsight Greenway Clearinghouse (837I, 837P, 835) (837I, 837P, 835) 300 Galleria Parkway, Ste 1700 1755 Telstar Drive, Ste. 400 Atlanta, GA 30339 Colorado Springs, CO 80920 877-932-6301 800-255-1128 [email protected] [email protected] HCRNET, Inc/Health Care Resources ( 837P) eMedix (formally Healthport) (207/271, 837I, 2310 Paseo Del Prado, Ste 208 837P, 835) Las Vegas, NV 89019 1401 Main Street 800-687-1795 Suite 400 Columbia, SC 29201 Heath Care Billing Consultants (837P, 800-382-7243 276/277) 1805 N Canary Drive eMed Solutions (270/271, 837P, 835) Edmond, OK 73034 5025 Austell Road 405-248-2076 Austell, GA 30106 [email protected] 770-653-6766 [email protected] PGBA, LLC Page 2 June 2021 TRICARE Active Vendor List Healthcare Administration Technologies Medical Billing of Louisville (837P) (837I, 837P, 835) 2629 Titleist Road 5200 S Yale Ave Louisville, KY 40242 Tulsa, OK 74135 502-425-1156 918-488-0508 Medical Business Associates (837P, 835) Health Logic System Corp (837I, 837P, 835) PO Box 1479 2059 Northlake Parkway South Etowah, NC 28729 Tucker, GA 30084 828-891-5524 888-877-0658 Medical Claim Corp (837P, 835) HDM Corporation (837I, 837P, 835, 276/277) 22 Pine Street, Ste 304 4235 N 90th Street Bristol, CT 06010 Omaha, NE 68134 860-582-1124 866-500-0404 [email protected] Medical Data Exchange (873I) One World Trade Center, Ste 2052 IDX Systems Corporation (837I, 837P, 835) Long Beach, CA 90831 40 IDX Drive 562-256-3811 South Burlington, VT 05403 [email protected] 802-859-6983 Medical Information Technology, Inc. (837I, Infinedi, LLC 837P, 835) 1437 S Boulder Ave MEDITECH Circle Ste 1030 Westwood, MA 02090 Tulsa, OK 74119 781-821-3000 800-688-8087 Medical Transcription Billing Corp (MTBC) Insurance Data Service (837P) 7 Clyde Road, Suite 201 1161 58th Street Somerset, NJ 08873 Wyoming, MI 49509 732-873-5133 616-532-8000 [email protected] JDA eHealth Systems, Inc. Medi.com (837I, 837P) 1415 W. Diehl Road, Suite 200-N 10381 Old Placerville Road Naperville, IL 60563 Sacramento, CA 91360 [email protected] 800-616-1626 [email protected] Macro Doctor (837I, 837P) 302 Turner Rd, Ste G Medifax – EDI Richmond, VA 23225 1283 Murfreesboro Road 804-726-6500 Nashville, TN 37217 800-444-4336 Martin Gottlieb & Associates (837P, 835) 4131 Sunbeam Road MedInformatix, Inc (837P) Jacksonville, FL 32257 5777W Century Blvd, Ste 1700 904-596-2727 Los Angeles, CA 90045 310-348-7367 MedAssets/XactiMed (837I, 837P, 835) 5543 Legacy Drive Plano, TX 75024 800-390-7459 www.medassets.com PGBA, LLC Page 3 June 2021 TRICARE Active Vendor List Medavant (837I, 837P) Payerpath, Inc (837I, 837P, 835) 1854 Shackleford Court 9030 Stoney Point Parkway Norcross, GA 30093 Richmond, VA 23235 800-792-5256 804-560-2400 M Transaction Services (835) Per Se Technologies/Indianapolis (837I, 837P) 6500 Riverplace Blvd, Bldg 2, Ste E 400 5455 W 86th St, Ste 204 Austin, TX 78730 Indianapolis, IN 46268 800-800-6472 317-471-0401 Navicure (835) Per Se Technologies/Maine (837I, 837P, 835) 3237 Satellite Blvd 19 Mollison Way Bldg. 300, Ste 310 Lewiston, ME 04240 Duluth, GA 30096 207-753-2251 770-342-0800 [email protected] Per Se Technologies/Illinois (837I, 837P) 725A Tollgate Rd NDC Health/National Data Corp (837I, 837P, Elgin, IL 60123 835) 847-608-7000 1 Warren Place, Tulsa, OK 74136 Physician Professional Services (837P) 800-852-0707 10 Cabot Road, Ste 306 Medford, MA 2155 Netwerkes.com (837I, 837P) 781-393-1621 10701 W Research Drive Wauwatosa, WI 53226 Physicians Technologies, Inc (837P, 835) 414-837-2500 4412 Columbia Road, Ste 106 Martinez, GA 30907 Nuesoft Technologies (837P, 835) 866-232-0847 1685 Terrell Mill Rd Marietta, GA 30067 Pollux Systems, Inc (837P, 835) 678-303-1140 4799 Rosebud Lane Newburgh, IN 47630 Office Ally (837P, 835) 800-467-2392 16703 SE McGillvray Blvd Ste 200 Vancouver, WA 98683 PPM Information Solutions (837P) 866-575-4120 ext. 4120 9000 W 67th St, Ste 201 Shawnee Mission, KS 66202 Passport Health Communications Inc 913-262-2585 (270/271, 267/277) 720 Cool Springs Blvd Practice Insight, LLC (837I, 837P, 835) Franklin, TN 37067 2 E Greenway Plaza, Ste 1030 615-661-5657 Houston, TX 77046 713-333-6000 PathGroup/Associated Pathologists (837P, 835) Psyquel Solutions 5301 Virginia Way, Suite 300 1370 Pantheon Way, Ste 110 Brentwood, TN 37027 San Antonio, TX 78232 615-221-4457 210-694-1399 PGBA, LLC Page 4 June 2021 TRICARE Active Vendor List Quadramed Corporation (837I, 837P) The Cirius Group (837I) 7505 Tiffany Springs Parkway 140 Gregory Lane Kansas City, MO 64153 Pleasant Hill, CA 94523 800-959-9120 925-685-9300 RealMed Corporation (270/271, 276/277, The Coding Edge (837P) 837I, 837P, 835) 701 Central Park Dr 510 East 96th Street Sanford, FL 32771 Indianapolis, IN 46240 407-549-4025 317-814-6855 The Consult, Inc (837I, 837P, 835) RelayHealth/McKesson (837I, 837P, 835) 415 Greenwell 700 Locust Street Cincinnati, OH 45238 Dubuque, IA 52001 800-676-7645 800-527-8133 The Software Group Scinet/WebMD (837P) 8161 Highway 100 #222 8901 E Raintree Dr, Ste 400 Nashville, TN 37221 Scottsdale, AZ 85260 615-415-8555 480-991-3445 The SSI Group, Inc (837I, 837P, 835) Signature Claims PO Box 991835 18930 Kirkcolm Lane Mobile, AL 36691 Northridge, CA 91326 800-880-3032 818-368-5501 Viatrack Software Systems (837I, 837P, 835) Speclin Billing and Management (837P) 117 Commercial Blvd 100 Industrial Street Martinez, GA 30907 Scottsdale, PA 15683 706-869-9960 724-887-6822 VIPA HEALTH Solutions LLC Stephens & Associates (837P) (837, 835, 270, 276) 3226 Preble Ave 8000 SW 117th Ave Suite PHC Ventura, CA 93003 Miami, FL 33173 805-650-6128 305-278-7780 Team DME, Inc (837P) X2 Medical Billing, LLC & EDI (837P, 270, 276) 750 Old Hickory Blvd, Bldg2, Ste 220 5616 CR 597 Brentwood, TN 37027 Farmersville, TX 75442 615-333-1900 972-853-0828 www.x2medicalbilling.com Techsoft, Inc./Medical Systems (837P) 9004-B Lincoln Drive West XIFIN, Inc (837P, 835) Marlton, NJ 08053 12670 High Bluff Drive Ste 200 856-642-7500 ext.