| |
Non-Par |
95308 |
Comm |
NY |
Independent Health - Enrollment and Provider testing is required by payer. To enroll with the payer or review test results please contact IHA at (716) 635-3911 |
Professional |
NPI_Only |
Enroll / Auth |
Payer Acknowledgement |
Yes |
|
|
|
| |
Non-Par |
54720 |
Govt |
PA |
Capital Blue Cross |
Professional |
NPI_Only |
Enroll / Auth |
Payer Acknowledgement |
Yes |
|
|
|
| |
Non-Par |
BS061 |
Comm |
NY |
Blue Shield - New York (Rochester) |
Professional |
NPI_Primary |
Enroll / Auth |
Payer Acknowledgement |
Yes |
Y |
|
|
| |
Non-Par |
54720 |
Comm |
PA |
KHP Central |
Professional |
NPI_Only |
Enroll/Auth |
Payer Acknowledgement |
Yes |
|
|
|
| |
Non-Par |
FBI99 |
Comm |
|
Fidelity Benefit Administrators |
Professional |
All_Use |
|
Capario Acknowledgement |
Yes |
|
|
|
| |
Non-Par |
PHP02 |
Comm |
|
Partnership Health Plan |
Professional |
NPI_Required |
|
Capario Acknowledgement |
Yes |
|
|
|
| |
Par |
PHP01 |
Comm |
|
Providence Traditional Option |
Professional |
All_Use |
|
Payer Claim Status |
|
Y |
|
|
| |
Non-Par |
62308 |
Comm |
|
Provident Healthsource (Cigna) |
Professional |
All_Use |
|
Claim Level Accept/Reject |
|
Y |
|
|
| |
Non-Par |
62308 |
Comm |
|
Provident Life & Accident |
Professional |
All_Use |
|
Claim Level Accept/Reject |
|
Y |
|
|
| |
Non-Par |
62308 |
Comm |
|
Provident Life & Casualty |
Professional |
All_Use |
|
Claim Level Accept/Reject |
|
Y |
|
|
| |
Non-Par |
62308 |
Comm |
|
Provident Preferred Network |
Professional |
All_Use |
|
Claim Level Accept/Reject |
|
Y |
|
|
| |
Non-Par |
62308 |
Comm |
|
Healthsource Provident Administrators |
Professional |
All_Use |
|
Claim Level Accept/Reject |
|
Y |
|
|
| |
Non-Par |
62308 |
Comm |
|
Healthsource Provident Ins. Co. |
Professional |
All_Use |
|
Claim Level Accept/Reject |
|
Y |
|
|
| |
Trans |
86001 |
Comm |
NJ |
AmeriChoice of New Jersey (Medicare) |
Remittance |
All_Use |
Enrollment |
|
|
|
|
|
| |
Non-Par |
84146 |
Comm |
|
Spina Bifida - VA HAC |
Institutional |
All_Use |
Enroll / Auth |
Capario Acknowledgement |
|
Y |
|
|
| |
Non-Par |
41154 |
Comm |
MN |
Mayo Management Services, Inc. |
Institutional |
All_Use |
|
File Level Acknowledgement |
|
Y |
|
|
| |
Non-Par |
13334 |
Comm |
|
Affinity Health Plan |
Institutional |
All_Use |
|
Claim Level Accept/Reject |
|
|
|
|
| |
Non-Par |
25133 |
Comm |
|
First Health |
Professional |
All_Use |
|
Payer Claim Status |
|
|
|
|
| |
Non-Par |
IR038 |
Govt |
MD |
Medicare - Maryland |
Institutional |
NPI_Only |
Enroll / Auth |
Payer Acknowledgement |
|
Y |
|
|
| |
Par |
PHP01 |
Comm |
|
Providence Medicaid |
Professional |
All_Use |
|
Payer Claim Status |
|
Y |
|
|