| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
Non-Par |
13079 |
Commercial |
MU |
Alliance Healthcare/SRRIPA |
Institutional |
4010A1 |
All_Use |
|
File Level Acknowledgement |
|
|
|
|
| U:01/24/13 |
Non-Par |
99320 |
Commercial |
MU |
Benefit & Risk Management Services |
Professional |
5010A1 |
All_Use |
|
Claim Level Acknowledgement |
|
No |
|
|
| U:01/24/13 |
Non-Par |
99320 |
Commercial |
MU |
Benefit & Risk Management Services |
Institutional |
5010A2 |
All_Use |
|
No Response From Payer |
|
No |
|
|
| U: 03/11/2013 |
Non-Par |
68046 |
Commercial |
|
Group Practice Affiliates |
Professional |
5010A1 |
All_Use |
|
Claim Level Accept/Reject |
|
Yes |
|
|
| U: 03/11/2013 |
Non-Par |
68062 |
Commercial |
MS |
Magnolia Health Plan |
Professional |
5010A1 |
All_Use |
|
Claim Level Acknowledgement |
|
Yes |
|
|
| U: 03/11/2013 |
Non-Par |
41124 |
Commercial |
MI |
Meritain Health |
Professional |
5010A1 |
All_Use |
|
Claim Level Acknowledgement |
|
Yes |
|
|
| |
Non-Par |
09830 |
Commercial |
MU |
University Family Care |
Remittance |
4010A1 |
All_Use |
Enrollment |
|
|
|
|
|
| U:02/10/2012 |
Par |
13162 |
Commercial |
|
1199 National Benefit Fund |
Institutional |
5010A1 |
All_Use |
|
Claim Level Accept/Reject |
|
|
|
|
| U:02/10/2012 |
Par |
13162 |
Commercial |
|
1199 National Benefit Fund |
Professional |
5010A1 |
All_Use |
|
Claim Level Accept/Reject |
|
|
|
|
| |
Non-Par |
13162 |
Commercial |
|
1199 SEIU National Benefit & Pension Fund |
Remittance |
4010A1 |
All_Use |
Enrollment |
|
|
|
|
|
| U:02/10/2012 |
Par |
13162 |
Commercial |
|
1199 SEIU National Benefit & Pension Fund |
Institutional |
5010A1 |
All_Use |
|
Claim Level Accept/Reject |
|
|
|
|
| U:02/10/2012 |
Par |
13162 |
Commercial |
|
1199 SEIU National Benefit & Pension Fund |
Professional |
5010A1 |
All_Use |
|
Claim Level Accept/Reject |
|
|
|
|
| |
Non-Par |
59069 |
Commercial |
|
21st Century Health and Benefits |
Institutional |
4010A1 |
All_Use |
|
No Response From Payer |
|
|
|
|
| U: 11/01/2012 |
Non-Par |
51028 |
Commercial |
|
21st Century Insurance and Financial Services |
Professional |
5010A1 |
All_Use |
|
File Level Acknowledgement |
|
|
|
|
| |
Non-Par |
51028 |
Commercial |
|
21st Century Insurance and Financial Services |
Institutional |
4010A1 |
All_Use |
|
File Level Acknowledgement |
|
|
|
|
| |
Non-Par |
31147 |
Commercial |
OH |
3-Hab (Ohio BWC) |
Professional |
4010A1 |
All_Use |
|
Claim Level Accept/Reject |
|
|
|
|
| U: 03/11/2013 |
Non-Par |
20413 |
Commercial |
|
3P ADMIN |
Institutional |
4010A1 |
All_Use |
|
Claim Level Accept/Reject |
|
Yes |
|
|
| U: 03/11/2013 |
Non-Par |
20413 |
Commercial |
|
3P Administrators |
Professional |
5010A1 |
All_Use |
|
Claim Level Accept/Reject |
|
Yes |
|
|
| U: 03/11/2013 |
Non-Par |
74234 |
Commercial |
|
8th District Electric - ERISA |
Professional |
5010A1 |
Dual |
|
Claim Level Accept/Reject |
|
Yes |
|
|