Payer Type List Payer Payer Type
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Clearance EDI Eligibility Payer List
connectcenter.changehealthcare.comClearance EDI Eligibility Payer List To request a connection to a payer not on the list below, please submit a New Payer Connection Request. Reference the CAQH web site for CORE Certified payers. See Legend for explanation of Payer List. Payer Name Change Healthcare Payer ID Payer-assigned Payer ID Connectivity Type Available Authorization Required
CLAIMS & ERA PAYER LIST December 10, 2021
www.experian.comCLAIMS & ERA PAYER LIST December 10, 2021 LEGEND: I = Institutional, P = Professional, D = Dental COB = Coordination of Benefits Transaction Column: 837 = Claims, 835 = ERA Available Column: A Check-mark indicates that the transaction type is available. Enrollment Column: A Check-mark indicates that enrollment is required for the transaction type.
OptumInsight Medical Payer List (01/06/2022)
iedi.optum.comPayer Type (UCS) Masonry Industry Trust 60230 NOCD ALL Y UCS MASONRY IND T N FALSE G 1199 SEIU National Benefit Fund 13162 NOCD ALL Y 1199 NATIONAL BEN Y FALSE G 21st Century Insurance and Financial Services 51028 NOCD MN Y 21ST CENTURY INS Y FALSE G
Commercial Payer List - Blue Cross Blue Shield of Michigan
www.bcbsm.comType: D=direct electronic connection to payer from BCBSM EDI, E=electronic transmission through clearinghouse BCBSM is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association
OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND …
professionals.optumrx.com338-5C OTHER PAYER COVERAGE TYPE RM 339-6C OTHER PAYER ID QUALIFIER R Required if Other Payer ID (34Ø-7C) is used. 34Ø-7C OTHER PAYER ID R Other payer BIN 443-E8 OTHER PAYER DATE R 341-HB OTHER PAYER AMOUNT PAID COUNT Maximum count of 9. RW Required if Other Payer Amount Paid Qualifier (342-HC) is used.
CVS CAREMARK PAYER SHEET
www.caremark.com338-5C Other Payer Coverage Type M 339-6C Other Payer ID Qualifier RW Required when Other Payer ID (34Ø-7C) is used 34Ø-7C Other Payer ID RW Required when identification of the Other Payer is necessary for claim/encounter adjudication 443-E8 Other Payer Date RW Required when identification of the
CVS CAREMARK PAYER SHEET
www.caremark.com338-5C Other Payer Coverage Type M 339-6C Other Payer ID Qualifier RW Required when Other Payer ID (34Ø-7C) is used 34Ø-7C Other Payer ID RW Required when identification of the Other Payer is necessary for claim/encounter adjudication 443-E8 Other Payer Date RW Required when identification of the
Medi-Cal Rx NCPDP Payer Specification Sheet
medi-calrx.dhcs.ca.govPayer Specification Sheet 6 10/01/2021 . Transactions Supported . Payer: List each transaction supported with the segments, fields, and pertinent information on each transaction. NEW! Note that B3 – Claim Rebill is now a valid Transaction for submission. Transaction Code Transaction Name B1 Claim Billing B2 Claim Reversal B3 Claim Re-Bill
Medicare Secondary Payer Billing & Adjustments (Home ...
cgsmedicare.comThe “MSP Payment Information” screen for “Primary Payer 1” will display. Entry for a second payer (if there is one) is available by pressing F6 to display the “MSP Payment Information” screen for “Primary Payer 2.” Access to the Claim Adjustment Segment (CAS) 5010 Format information is available later in this flow chart. (page 21).
NCPDP Version D.0 Payer Sheet Medicaid
www.express-scripts.comJan 01, 2018 · NCPDP Version D.0 Payer Sheet Medicaid . 4. Payer Usage: M=Mandatory, O=Optional, R=Required by ESI to expedite claim processing, "R"=Repeating Field, RW=Required when; required if “x”, not required if “y” Claim Segment – Mandatory . Field # NCPDP Field Name Value Payer Usage . 111-AM Segment Identification Ø7=Claim M