https://medicalbillingrcm.com/author/nsingh/, (2023) ICD 10 Asthma Exacerbation J45 |Asthma ICD 10 Codes, (2023) ICD-10 CM Dx Code K74.60 | ICD-10 For Cirrhosis, PR 31 denial Code|Patient Cant be identify Our insured, Timely Filing Limit of Insurance Companies in Medical Billing (2023), Place of Service Codes List in Medical Billing? ), Emerald Health Network, Inc. (All HMO Business), Employee Benefit Administration & Management (EBA&M), Employee Benefit Consultants (To obtain the payer ID, please call (440) 262-1160. ), Senior Whole Health (Use payer ID 83035 for DOS prior to 01/01/2021. ), International Brotherhood of Boilermakers Employee Health Care Plan (IBBEHC), Iowa Health Solutions (Provider ID Required), John Hopkins Healthcare (EHP/PP) (Submit Billing NPI and Rendering/Servicing NPI), John Muir Trauma Physicians (Please call 925-947-5288 for Payer ID information. Aetna Medicare | Home Member Services FAQs for Individuals and Families - Aetna You can also request Extra Help. )CALLALLCALL ENS SUPPORTYGSouth County Health Alliance (previously under Payer ID 41154)81600ALLSOUTH CNTY HLTHYGSouth Dakota Chiropractic (Sanford Health Plan)CASD2SCSANFORD HP SD CHIYGSouth Florida Common Services59065FLSO FL COMMON SVCSNGSouth Florida Musculoskeletal Care6294ALLSO FL MUSCULO CARNGSouth Indiana Health Options HMOSX142INSO INDIANA HEALTHYGSouthcare / Healthcare Preferred25147ALLSOUTHCARE HEALTHCYGSoutheast Iowa Health Plan (Provider ID Required)86068IASE IOWA HLTH PLANYNSouthern Cal Physicians Managed Care ServicesSCP01CASO CAL PHYSICIANSNGSouthern California Health Care System aka(CHS Alta Pod by Medpoint and SCHS Alto Pod by MedPointMPM20CASOCAL HLTH CARE SYGSouthland IPASIPA1ALLSOUTHLAND IPANGSouthwest Physicians GroupSWPG1ALLSW PHYSICIAN GRPYGSouthwest Service AdministratorsCX100ALLSW SERVICE ADMININGSouthwest Service Life37266ALLSW SERVICE LIFENGSouthwestern Health Resources Clinically Integrated (DOS After Dec. 31, 2022)RP085ALLSW HEALTHNGSpectera773ALLSPECTERANCSpencer Stuart ARM Ltd.38416ALLSPENCER STUART ARNGSt James PHO (Call payer for payer ID)CALLALLCALL PAYERYGSt Joseph HealthIP062CAST JOSEPH HLTH CAYGSt Marys IPASMIPACAST MARYS IPANGSt. 24/7 virtual care, walk-in clinics, urgent care and many more convenient options. Contact Cox Health Plan for ID. ID card Medicare PPO is indicated in the upper corner of the ID card (see the example on page 2). This is a government program that helps people with limited income and resources pay for their Medicare prescription drug costs. Call 888-296-9790)CALLNCCALL SUPPORTYNBanner Health & Aetna Health Insurance Company67895ALLAETNA BANNER HLTHYGBanner Medicare Advantage Plus (PPO)16663ALLBANNER PPOYGBanner Medicare Advantage Plus (HMO)16664ALLHMO BANNERYGBanner University Family Care (University of Arizona Health Plans)66901ALLBANNER UNIV OF AZYGBaptist Health South Florida65026ALLBAPTIST HLTH S FLNGBaycare Select Health Plans Incorp81079ALLBAYCARE SELECTYGBCBS Of VermontSB915VABCBS VANNBCBS Of Michigan (Dental Claims Only)BBMDQMIBCBS MI DENTALNGBCBS of Texas Medicaid (Plan effective December 1, 2015)66001TXBCBS TEXAS MEDICANGBCBS Western NY MedicaidWNYMDNYBCBS W NY MEDICAIYNBeacon Health OptionsBHOVOALLBEACON HLTH OPTIONGBeacon of Life65432ALLBEACON LIFENGBeaver Medical Group45967ALLBEAVERNGBehavioral Health Systems63100ALLBEHAVIORAL HSNGBella Vista Med Grp IPAMPM10CABELLA VISTA MED GNNBenefit & Risk Management Services (Commercial Medicare under Med3000)99320ALLBENE RISK MGMT SVNGBenefit Administrative Systems36149ALLBENE ADMIN SYSTEMYGBenefit Concepts51037ALLBENEFIT CONCEPTSNGBenefit Coordinators Corporation25145ALLBENEFIT COOR CORPNGBenefit Management LLC/VBA88092ALLBENE MGMT LLC VBAYGBenefit Management Services56139ALLBENE MGMT SVCSYGBenefit Management Systems, Inc of Mississippi37212MSBMS OF MSYGBenefit Management, Inc. of KS (Only accepts claims for these groups BMI187,BMI219,BMI234,BMI236,BMI214,BMI241,BMI617 BMI246,BMI246. NamePayer IDState NameEntered As2ndary**Payer Type(UCS) Masonry Industry Trust60230ALLUCS MASONRY IND TNG1199 SEIU National Benefit Fund13162ALL1199 NATIONAL BENYG21st Century Insurance and Financial Services51028MN21ST CENTURY INSYG2020 Eyecare2020EALL2020 EYECARENG360 Alliance PPO Gilsbar7205ALL360 ALLIANCE PPOGNG3P ADMIN20413ALL3P ADMINYG8th Distric Electrical74234UT8TH DIST ELECTRICNGA & I Benefit Plan Administrators93044ALLA AND I BENEFIT PYGAARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company36273ALLAARP MEDICARE SUPYCAARP Medicare Supplement Plans insured byUnitedHealthcare Insurance Company36273ALLAARP MEDICARE SUPYCAARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network / Oxford Medicare Network87726ALLOXFORD MEDICARE NYCAARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons)87726ALLAARP MEDICARECOMPYCABMGA0701CAABMGNGAbrazo Advantage Health Plan3443ALLABRAZO ADV HEALTHYGAbri HealthplanABRI1ALLABRI HEALTHPLANYGAccess AdministratorsAHS01ALLACCESS ADMINISTRANGAccess Behavioral CareCOACCCOACCESS BEHAVIORALYGAccess Medical GroupAMG02AllALLIED MED GROUPNGACCLAIM64071AllACCLAIMYGAcclaim IPAMHIPACAMEMORIAL HC IPAYGAcclaim IPA (MHCAC)MHIPACAMEMORIAL HC IPAYGAccountable HC IPA (Customer Service (562) 435-3333 for claims with DOS prior to 5/1/15)AHIPAALLACCOUNTABLE HC IPNGHealthsmart Benefit Solutions (Wells Fargo TPA, formerly Acordia National)87815ALLACORDIA NATIONALYGACS Benefit Services, inc.72467ALLACS BENEFIT SERVIYGACS Benefits Payer CompassPA331ALLACS BENE PAYER CONGActiva Benefits Services, LLC (Formerly Amway Corporation)38254ALLACTIVA BENE SVCSNGActivHealthcareAHC01ALLACTIVHEALTHCARENGAdministrative Services, Inc.59141ALLADMIN SVCS INCYGAdminstrative Concepts, Inc.22384ALLADMIN CONCEPTS INYGAdvance Benefit Mgmt Systems USA Incorp66457ALLADV BENE MGMT USAYGAdvanced Data Solutions58202ALLADVANCED DATA SOLYGAdvanstaff, Inc.74234ALLADVANSTAFF INCNGAdvantage Care IPAACIPACAADVANTAGE CARE IPYGAdvantage Health Network IPANMM01ALLADVANTAGE HLTH IPYGAdvantage Health Solutions, Inc.35209ALLADVANTAGE HEALTHNGAdvantek Benefit Administrators83077ALLADVANTEK BENEFITNGAdvantica Benefits59374ALLADVANTICA BENEFITYGAdvanzeon Solutions59314ALLADVANZEON SOLUTIONGAdventHealth Advantage PlansRP039ALLADVENT HLTHNGAdventist Health System95340ALLADVENTIST HLTH SYYGAdvocate Health Centers (AHC)36320ALLADVOCATE HEALTHNGAdvocate Health Partners (PHO)65093ALLADVOCATE HLTH PARNGAegis Administrative ServicesCB637ALLAEGIS ADMIN SVCSNGAetna Affordable Health Choices (SM) SRC57604ALLAETNA AFFORDABLEYGAetna Better Health PA Medicaid23228PAAETNA BH PA MEDICYGAetna Better Health Medicaid IL26337ILAETNA BH MCAID ILYGAetna Better Health Nevada128NVNVAETNA NVNGAetna Better Health NY34734ALLAETNA BET HLTH NYNGAetna Better Health Kansas128KSKSAETNA BET HLTH KSNGPR 31 denial Code|Patient Cant bPlease enable JavaScriptPR 31 denial Code|Patient Cant be identify Our insuredAetna Better Health of California128CACAAETNA CAYGAetna Better Health of Illinois Inc68024ILAETNA BETTER HEALTH OF ILLINOIS INCYGAetna Better Health of Kentucky128KYKYAETNA BET HLTH KYYGAetna Better Health of Louisiana128LALAAETNA BH LOUISIANYGAetna Better Health of Maryland128MDMDAETNA MDNGAetna Better Health of Michigan128MIMIAETNA BH MICHIGANYGAetna Better Health of New Jersey46320NJAETNA BH NEW JERSYGAetna Better Health of Ohio50023ALLAETNA BTTR HLTH OYGAetna Better Health of Virginia128VAVAAETNA BH VAYGAetna Better Health of West Virginia128WVWVAETNA BTR HLTH WVYGAetna Health Plan PPO60054ALLAETNA HEALTH PLANYGAetna Life & Casualty Company60054ALLAETNAYGAetna Life & Casualty Company60054ALLAETNA LIFEYGAetna Life & Casualty Company60054ALLAETNA LIFE INSURYGAetna Life & Casualty Company60054ALLAETNA LIFE INSURAYGAetna OHIORISE45221ALLAETNA OHIORISEYGAffiliated Doctors of Orange CountyADOCSCAAFFIL DOCS OF OCYGAffiliated Physicians IPAPOP06ALLAFF PHYSICIANS IPNGAffinity Essentials23334ALLAFFINITY ESSENTIAYGAffinity Health Plans (Contact Affinity EDI Coordinator before submitting claims electronically at [emailprotected] or call 718-794-7592. )88027NVNO NV TRUST FUNDSYGNorthridge Medical GroupOCN01ALLNORTHRIDGE MED GPYGNorthShore Physicians Associates (This Payer Does Not Accept Claims With A Date Of Service Of 1/1/2023 Or After)48026ALLNO SHORE PHY ASSOYGNorthwest Physicians Network (For claims with a DOS of 01/21/2021 and greater use payer ID LIFE1)NPN11ALLNW PHYSICIANS NETNGNorthwest Suburban IPA (IL)36346ILNW SUBURBAN IPANGNorthwestern National LifePH018AllNORTHWESTERN NATIYGNorthwood HealthcareNWOODAllNORTHWOODNGNova Healthcare Administrators, Inc. (Grand Island, NY)16644ALLNOVA HLTHCARE ADMNGNovaNet (Please contact payer directly for payer ID (770)729- 1997 ext. CO, CT, DC, DE, IA, IL, IN, KS, KY, Willamette Valley Community Health CCO (Formerly known as Marion Polk Health Plan), WIN Healthcare (Womans Integrated Network, Inc.), Woodman Accident and Life Co (AICT Plans only), Wyoming School Boards Association Insurance Trust. (Call 608-758-7739 for PayerID. Managed Care Systems (Delango Regional Medical), Managed Care Systems CDCR (Customer Service: (800) 494- 4662), Managed Health Services of Wisconsin (Please contact the payer @ 800-225-2573, ext 25525 to get setup to submit electronic claims. PO Box 15708 When you have all the information necessary, mail your claim to the Aetna office shown on the top of this form. )86066LISTEDHMANNHMC Healthworks aka Health Management Co.75318ALLHMC HEALTHWORKSNGHMO Louisiana Blue Advantage (For claims with DOS 2020, for claims with DOS 01/01/21 use payer ID 72107)84555LAHMO LA BLUE ADVANNGHMO Louisiana Blue Advantage (Use this claim for DOS on or after 01/01/21)72107LAHMO LA BLUE ADVANNGHockenbergs Equipment (UCS)59573ALLHOCKENBERS EQUIPNGHollywood PresbyterianIP080CAHOLLYWOOD PRESBYTYGHollywood Presbyterian Medical CenterAMM18ALLHOLLYWOODNGHoly Cross Health PartnersNAHLXILHOLY CROSS HLTH PYGHome State Health Plan68069LAHOME STATE HPYGHomeland Security (ATTN: Deportation)VAICEALLHOMELAND SECURITYNGHomelink50701ALLHOMELINKNGHomelink30750ALLHOMELINKYGHomelink Healthpartners55744ALLHOMELINK PARTNERSYGHometown Health Plan Nevada88023NVHOMETOWN HP OF NVYGHometown Health Plan of Ohio (Now known as The Health Plan)30757OHHOMETOWN HP OF OHNGHopkins Health Advantage66003ALLHOPKINS HLTH ADVANGHorace Mann Life InsuranceHMLICALLHORACE MANN LIFENGHorizon Blue Cross Blue Shield of New Jersey22099NJHORIZON BCBS NJYNHotel Employees & Restaurant Employees Health Trust Grp#F1991136AllHOTEL EMP GRPF19NGHPMS (Send claims to payerID listed on patients insurance card. Joe High DesertJOEHDCAST JOE HIGH DESERNGSt. Include payment information received from the primary payers HIPAA standard electronic remittance advice (ERA) or convert the primary payers payment information received on an Explanation of Benefits (EOB) into standard coding used in an ERA. Grp#P67, Upland Medical Group (Customer Service Phone number, (909) 291-4400), UST Healthproof (Effective for claims with a DOS of 2023), UST Healthproof (Effective for claims with a DOS of 2022), Utica NY FEP (Federal Employee Program) Blue Shield, VA Community Care Network Region 1 (Effective for 837P claims with DOS on or after 07/29/2019), VA Community Care Network for Dental Providers Region 1 (Effective for Dental claims with DOS on or after 06/26/2019), VA Community Care Network Region 2 (Effective for 837P claims with DOS on or after 10/08/2019), VA Community Care Network for Dental Providers Region 2 (Effective for Dental claims with DOS on or after 10/08/2019), VA Community Care Network Region 3 (Effective for 837P claims with DOS on or after 01/07/2020), VA Community Care Network for Dental Providers Region 3 (Effective for Dental claims with DOS on or after 01/07/2020), Valley Care IPA (Customer Service 805-604-3332), Valley Presbyterian Hospital Community Family Care, Valley Presbyterian Hospital Preferred IPA, ValueOptions/MBHP (For claim rejections please contact e-, Vantage Medical Group Use Payer ID PPM01 for claims with DOS prior to 08.01.2020, Vantage Medical Group Use Payer ID PROSP for claims with DOS after 08.01.2020, Virginia Health Network,Inc (To get the payerID, call payer at (804)320-3837), Virginia Premier Health Plans (Effective 02-01-2019, former payer IDs VPEP1, 54176, VPELT, VPCCP, VPHP1,VPCCI, MAPDI, 12K83, MAPDP), Vista Oncology New Century Infusion Solutions, Vivida Health Plan (Use this ID for dates of service prior to 01/01/21), Vivida Health Plan (Use this ID for dates of service on or after 01/01/21), VNA Homecare Options (Medicaid line of business), VNS Choice Medicare (Formerly Visiting Nurse Service), VYTRA Healthcare (Provider ID number required. Joseph HUMBOLT CountyIP059CAST JOE HUMBOLT COYGSt. Prince George, Montgomery, Fairfax and Arlington Counties and City of Alexandria)903VAVA NORTH MEDICAREYNMedicare Part B of OhioOHMCROHOH MEDICAREYNMedicare Part B of OklahomaOKMCROKOK MEDICAREYNMedicare Part B of OregonORMCROROR MEDICAREYNMedicare Part B of PennsylvaniaPAMCRPAPA MEDICAREYNMedicare Part B of Rhode IslandRIMCRRIRI MEDICAREYNMedicare Part B of South CarolinaSCMCRSCSC MEDICAREYNMedicare Part B of South DakotaSDMCRSDSD MEDICAREYNMedicare Part B of Southern CaliforniaCSMCRCACA MEDICARE SOUTHYNMedicare Part B of TennesseeTNMCRTNTN MEDICAREYNMedicare Part B of TexasTXMCRTXTX MEDICAREYNMedicare Part B of Upstate NYN1MCRNYUPSTATE NY MEDICAYNMedicare Part B of UtahUTMCRUTUT MEDICAREYNMedicare Part B of VermontVTMCRVTVT MEDICAREYNMedicare Part B of VirginiaVAMCRVAVA MEDICAREYNMedicare Part B of WashingtonWAMCRWAWA MEDICAREYNMedicare Part B of West VirginiaWVMCRWVWV MEDICARE BYNMedicare Part B of Western Missouri (For pre-existing providers only)MWMCRMOW MO MEDICAREYNMedicare Part B of WisconsinWIMCRWIWI MEDICAREYNMedicare Part B of WyomingWYMCRWYWY MEDICAREYNMedicare Railroad (MetraHealth Medicare)RRWMCAllRRW MEDICAREYNMedicare SupplementalVABLSVAVA MEDICARE SUPPLYNMedicare Y Mucho MasL0210ALLMEDICARE MUCHONGMedico Insurance Company23160ALLMEDICO INS COMPANNGMEDIGOLD95655ALLMEDIGOLDNGMediture IPAAMM11ALLMEDITURE IPANGMedPartners (PHCS Repricing) (PO Box 10240 Fort Wayne, In 46857)441MPALLMEDPARTNERS PHCSNGMedPartners Admin Services412MPALLMEDPARTNERS ADMINNGMed-Pay130MO, ILMEDPAYNGMedSolutions, Inc.62160ALLMEDSOLUTIONSYGMedstar Family Choice Maryland HealthchoiceRP063MDMEDSTAR FAMNGMedstar Physician Partners243MDMEDSTAR PHYS PARTYGMedstar Select251MSALLMEDSTAR SELNGMemorial Clinical AssociatesMCA11ALLMEM CLINICAL ASSONTMemorial Healthcare IPAMHIPACAMEMORIAL HC IPAYGMemorial Hermann Health NetworkMHHNPALLMEM HERMANN HLTHNGMemorial Integrated Healthcare59064AllMEMORIAL INTEGRAYGMemorialCare Medical FoundationMMFMCALLMEMORIALCARE MEDNGMendicina Familiar Medical GroupIP080CAMEDICINA FAMILIARYGMennonite Mutual (Now known as Everence)35605ALLMENNONITE MUTUALYGMental Health Consultants Inc37050ALLMENTAL HLTH CONSNGMercy Care39114WIMERCYCARE WINCMercy Health Plan (AHCCCS)86052AZMERCY HP AHCCCSYGMercy Health Plan of AZ86052AZMERCY HP AZYGMercy Health Plan of New Jersey (Provider ID Required in Box33a Contact (800) 682-9091 to obtain ID)22326AllMERCY HLTH PL NJYGMercy Maricopa Integrated Care33628ALLMERCY MARICOPA ICNGMercy Provider Network43185ALLMERCY PROV NETWORNGMercyCare of WI. )25133ALLCOVENTRY HEALTHYGCoventry Health Care of Florida128FLFLCOVENTRY HC FLYGCox Health Plan (Requires Provider ID in Box 33a. The content shared in this website is for education and training purpose only. 124 for approval and the Payer ID.CALLPACALL ENS SUPPORTYTPreferred Health Plan (Louisville, KY previous payer ID 61106 )87815KYPREFERRED HLTH KYYGPreferred Health Professionals31478ALLPREF HEALTH PROFYGPreferred Health Professionals Kansas City36KS,MOPREF HLTH PROF KCNGPreferred Health Systems Insurance Co (PPO)61665ALLPREF HLTH SYS PPOYGPreferred Health Systems, Inc.60110ALLPREF HLTH SYSTEMSYGPreferred IPAPFIPAALLPREFERRED IPAYGPreferred MedicareL0250ALLPREFERRED MEDICARNNPreferred Network Access36401ALLPREFERRED NET ACCNGPreferred One41147ALLPREFERRED ONEYGPremier Administrative Solutions65415ALLPREMIER ADMINNGPremier Eye Care65054ALLPREMIER EYE CAREYNPremier Healthcare Exchange88051ALLPREMIER HCXNGPremier HealthCare Exchange (Cypress)88056ALLPREMIER HCARE EXCNGPresbyterian Health Plan (Commercial) (Provider ID is required. Payer IDs to send electronic claims 60054 (claims/encounters)60055 (Bulk encounters you must contact us before sending us bulk encounter files.) ). Review reports promptly to identify any items that require attention. State Farm Homeowners Group Medical Plans (Note that payer requires Insureds ID of 11 or 12 digits and exact structure. ), Corizon Health Inc.(Claims with address of Brentwood,TN should be submitted to this Payer ID.). ), NorthShore Physicians Associates (This Payer Does Not Accept Claims With A Date Of Service Of 1/1/2023 Or After), Northwest Physicians Network (For claims with a DOS of 01/21/2021 and greater use payer ID LIFE1), Nova Healthcare Administrators, Inc. (Grand Island, NY), NovaNet (Please contact payer directly for payer ID (770)729- 1997 ext. Provide the name, Member ID number or Social Security number, address and phone number of the covered person. You will need to fill out one of the claim forms. PDF Aetna Signature Administrators solution
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