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Updated Par/
Non-Par/
Trans		 Payer
ID		 Payer
Type		 ST Payer Name Enrollment
Authorization		 Claims
Agreement		 ERA
Agreement
   Non-Par 80314  Comm   UNICARE
 Institutional
 NPI_Only
 Enroll / Auth
Capario Acknowledgement
 
Y
 
ERA agreement form
   Par CH002  Govt   TRICARE - North Region
 Institutional
 NPI_Only
 Enroll / Auth
Payer Acknowledgement/Rejects Only
 
Y
 
ERA agreement form
   Non-Par 91164  Govt   Highline Medical Service Organization - Molina
 Professional
 All_Use
 
File Level Acknowledgement
 
Y
   
   Non-Par MC017  Govt  VA Medicaid - Virginia
 Professional
 NPI_Or_Legacy
 Enroll / Auth
Capario Acknowledgement
 
Y
 
ERA agreement form
   Non-Par 04423  Comm   Molina Healthcare of New Mexico -SCI
 Institutional
 All_Use
 
File Level Acknowledgement
 
Y
   
   Trans 74227  Comm   The Chesapeake Life Insurance Company - Student Insurance
 Professional
 All_Use
 
Payer Acknowledgement
 
Y
   
   Non-Par 55247  Comm   HIP - Health Insurance Plan of Greater New York
 Institutional
 All_Use
 
Payer Acknowledgement
 
Y
 
ERA agreement form
   Non-Par 60280  Comm   Interface EAP (IEAP)
 Institutional
 All_Use
 
Capario Acknowledgement
 
Y
   
   Non-Par 60280  Comm   Interface EAP (IEAP)
 Professional
 All_Use
 
Payer Claim Status
 
Y
   
   Non-Par 91161  Govt   Highline Medical Service Organization - PSHP
 Professional
 All_Use
 
File Level Acknowledgement
 
Y
   
   Non-Par 62308  Comm  OH Eaton Benefits, OH
 Professional
 All_Use
 
Claim Level Accept/Reject
 
Y
 
ERA agreement form
   Non-Par BS022  Govt  FL Blue Shield - Florida
 Professional
 NPI_Required
 
Payer Claim Status - Rejects Only
 
Y
 
ERA agreement form
   Non-Par MC006  Govt  WA Medicaid - Washington (DSHS)
 Professional
 NPI_Required
 Enroll / Auth
Claim Level Accept/Reject
 
Y
payer agreement form
ERA agreement form
   Non-Par MC088  Govt  DC Medicaid - Washington DC
 Professional
 NPI_Primary
 Enroll / Auth
Capario Acknowledgement
 
Y
payer agreement form
ERA agreement form
   Non-Par MC048  Govt  WV Medicaid - West Virginia
 Professional
 NPI_Primary
 
Payer Claim Status - Rejects Only
 
Y
 
ERA agreement form
   Non-Par MC049  Govt  WI Medicaid - Wisconsin
 Professional
 All_Use
 Enroll / Auth
Capario Acknowledgement
 
Y
 
ERA agreement form
   Non-Par MC055  Govt  WI Medicaid - Wisconsin HIRSP Only
 Professional
 All_Use
 Enroll / Auth
Capario Acknowledgement
 
Y
payer agreement form
  
   Non-Par MR038  Govt  MD Medicare - Maryland
 Professional
 NPI_Only
 Enroll / Auth
Payer Claim Status - Rejects Only
 
Y
payer agreement form
ERA agreement form
   Non-Par MR061  Govt  MA Medicare - Massachusetts
 Professional
 NPI_Only
 Enroll / Auth
Payer Claim Status - Rejects Only
 
Y
payer agreement form
ERA agreement form
   Non-Par MR017  Govt  MI Medicare - Michigan
 Professional
 NPI_Only
 Enroll / Auth
Payer Claim Status - Rejects Only
 
Y
payer agreement form
ERA agreement form
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