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Updated Par/
Non-Par/
Trans
Payer
ID
Payer
Type
ST Payer Name Enrollment
Authorization
Claims
Agreement
ERA
Agreement
   Par 13162  Comm   1199 National Benefit Fund
 Institutional
 All_Use
 
Payer Claim Status
 
 
ERA agreement form
   Par 13162  Comm   1199 National Benefit Fund
 Professional
 All_Use
 
Payer Claim Status
 
 
ERA agreement form
   Non-Par 13162  Comm   1199 SEIU National Benefit & Pension Fund
 Remittance
 All_Use
 Enrollment
 
 
ERA agreement form
   Par 13162  Comm   1199 SEIU National Benefit & Pension Fund
 Institutional
 All_Use
 
Payer Claim Status
 
 
ERA agreement form
   Par 13162  Comm   1199 SEIU National Benefit & Pension Fund
 Professional
 All_Use
 
Payer Claim Status
 
 
ERA agreement form
   Non-Par 59069  Comm   21st Century Health and Benefits
 Institutional
 All_Use
 
Capario Acknowledgement
 
   
   Non-Par 51028  Comm   21st Century Insurance and Financial Services
 Professional
 All_Use
 
File Level Acknowledgement
 
   
   Non-Par 51028  Comm   21st Century Insurance and Financial Services
 Institutional
 All_Use
 
File Level Acknowledgement
 
   
   Non-Par 31147  Comm  OH 3-Hab (Ohio BWC)
 Professional
 All_Use
 
Payer Claim Status
 
   
   Non-Par 88053  Comm   360 Alliance - Gilsbar
 Professional
 All_Use
 
File Level Acknowledgement
 
   
   Non-Par 88053  Comm   360 Alliance - Gilsbar
 Institutional
 All_Use
 
File Level Acknowledgement
 
   
   Non-Par 20413  Comm   3P ADMIN
 Institutional
 All_Use
 
Claim Level Accept/Reject
 
Y
   
   Non-Par 20413  Comm   3P Administrators
 Professional
 All_Use
 
Payer Claim Status
 
Y
   
   Non-Par 74234  Comm   8th District Electric
 Professional
 Dual
 
Payer Claim Status
 
   
   Non-Par 93044  Comm   A & I Benefit Plan Administrators
 Professional
 All_Use
 
Payer Claim Status
 
   
   Non-Par 93044  Comm   A & I Benefit Plan Administrators
 Institutional
 All_Use
 
Claim Level Acknowledgement
 
   
   Non-Par 95241  Comm   A.G.I.A, Inc
 Professional
 All_Use
 
Payer Acknowledgement
 
   
   Non-Par 95241  Comm   A.G.I.A, Inc.
 Institutional
 All_Use
 
Payer Acknowledgement
 
   
   Non-Par 75240  Comm   AAG Benefit Plan Administrators, Inc.
 Institutional
 All_Use
 
Capario Acknowledgement
 
Y
   
   Non-Par 48185  Comm  NY ABC Health Plan of New York
 Institutional
 All_Use
 
Payer Claim Status
 
   
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