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Updated Par/
Non-Par/
Trans		 Payer
ID		 Payer
Type		 ST Payer Name Enrollment
Authorization		 Claims
Agreement		 ERA
Agreement
   Trans 74227  Comm   The Chesapeake Life Insurance Company - Student Insurance
 Professional
 All_Use
 
Payer Acknowledgement
 
Y
   
   Trans 80705  Comm   Great-West Healthcare (formerly One Health Plan ---- Except CA, CO, GA, IL, or TX)
 Professional
 All_Use
 
Capario Acknowledgement
 
 
ERA agreement form
   Trans AMS01  Comm   Tristate
 Professional
 All_Use
 
Capario Acknowledgement
 
   
   Trans 61665  Comm   Preferred Benefits Administrator
 Professional
 All_Use
 
Capario Acknowledgement
 
   
   Trans 95467  Comm   Great Lakes Health Plan
 Institutional
 All_Use
 
Capario Acknowledgement
 
   
   Trans 95467  Comm   Great Lakes Health Plan
 Professional
 All_Use
 
Payer Acknowledgement
 
   
   Trans 80705  Comm   Great-West Healthcare (FormerlyAmerican General 63665)
 Institutional
 All_Use
 
Capario Acknowledgement
 
 
ERA agreement form
   Trans 80705  Comm   Great-West Healthcare
 Institutional
 All_Use
 
Capario Acknowledgement
 
 
ERA agreement form
   Trans 61271  Comm   Principal Life Insurances
 Dental
 All_Use
 
Capario Acknowledgement
 
   
   Trans AMS01  Comm   Iowa, Envoy Platinum
 Professional
 All_Use
 
Capario Acknowledgement
 
   
   Trans 35145  Comm   Highmark - Key Family
 Professional
 All_Use
 
Payer Claim Status
 
   
   Trans 34134  Comm   Professional Risk Management
 Professional
 All_Use
 
Payer Acknowledgement
 
   
   Trans 95959  Comm   Pacificare Health Systems, Inc. (TX/CA)
 Institutional
 All_Use
 
Payer Acknowledgement
 
 
ERA agreement form
   Trans HM012  Comm  CA Pacificare HMO / Encounters
 Professional
 Dual
 Enroll / Auth
Claim Level Accept/Reject
 
   
   Trans 95959  Comm  AZ PacifiCare of Arizona - Claims (For payable Pacificare/Secure Horizons HMO claims only. Not for PPO claims. For further questions you may inquire via email at edioutreach@phs.com)
 Professional
 All_Use
 
Payer Claim Status
 
 
ERA agreement form
   Trans CALL  Comm  AZ PacifiCare of Arizona - Encounters (Please email Encountercollection@phs.com to be setup to submit Encounters)
 Professional
 All_Use
 
Payer Claim Status
 
   
   Trans 95959  Comm  CA PacifiCare of California - Claims (For payable PacifiCare/Secure Horizons HMO claims only. Not for PPO claims. For further questions, you may inquire via email at edioutreach@phs.com)
 Professional
 All_Use
 
Capario Acknowledgement
 
 
ERA agreement form
   Trans CALL  Comm  CA PacifiCare of California - Encounters (Please email Encountercollection@phs.com to be setup to submit Encounters)
 Professional
 All_Use
 
Capario Acknowledgement
 
   
   Trans 95959  Comm  OK PacifiCare of Oklahoma - Claims (For payable PacifiCare/Secure Horizons HMO claims only. Not for PPO claims. For further questions, you may inquire via email at edioutreach@phs.com)
 Professional
 All_Use
 
Capario Acknowledgement
 
 
ERA agreement form
   Trans CALL  Comm  OK PacifiCare of Oklahoma - Encounters (Please contact Barbara Pisano 714-825-5989)
 Professional
 All_Use
 
Capario Acknowledgement
 
   
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