Health plan identifier payer id

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National Health Plan Identifier Frequently Asked Questions

calls, faxes, letters, e-mails and appeals. The single routing “payer ID” typically used today cannot provide the necessary information in most cases. There are billions of dollars of cost savings associated with a robust health plan identifier system that does more than just identify where health plan transactions should be routed.

https://www.ncvhs.hhs.gov/wp-content/uploads/2014/05/100719p02b.pdf 

HPID | CMS

Dec 01, 2021 · HPID Final Rule. The Department of Health & Human Services (HHS) has published in the Federal Register the Final Rule CMS-0054-F pertaining to the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA required that HHS adopt a national plan identifier, with the intent of …

https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/Unique-Identifier/HPID 

Original Source Data Submitter - New York State …

Please contact NYSOH Plan Management at 518-486-9102 or email . [email protected] to be added to the Listserv. The data submitter must add the Issuer’s HIOS ID, NAIC ID or the OSDS assigned payer ID to the GS Segment. For data submitters that do not have a HIOS ID or NAIC or OSDS assigned Payer Identifier

https://nyshc.health.ny.gov/documents/39436/108308/osds_standard_companion_guide_data_submitter_information.pdf 

Provider Claims - New York State Department of Health

online access, you can send a request via email with your Tax ID and group NPI to [email protected] o Mail: Claims that are mailed must be submitted on completed CMS1500 or CMS1450 (also known as a UB04). Mail to: Medical Indemnity Fund c/o Public Consulting Group, Inc. P.O. Box 784 Greenland, NH 03840-0784 Phone: (855) NYMIF33 | (855) 696–4333

https://www.health.ny.gov/regulations/medical_indemnity_fund/docs/provider_guidance.pdf 

New York State Department of Health All Payer …

Please contact the Bureau at (518) 474-5050 or email [email protected] to be added to the Listserv. The Encounter related documentation is available on the NYSOH Issuer Portal. New requests for access to the Issuer Portal should be sent to NYSOH Plan Management ([email protected]) and the NYS APD team ([email protected]).

https://www.health.ny.gov/technology/all_payer_database/docs/eis_trading_partner_guide.pdf 

Health Plan/Payer List Availity Clearinghouse and Web Portal

Health Plan/Payer List Availity Clearinghouse and Web Portal. NPI required as Primary Identifier. Tax ID required as a secondary identifier on claims in 2010AA or 2010AB. Only specific non-Legacy qualifiers allowed as secondary identifiers in certain provider loops.

https://www.availity.com/documents/availity_edi_clearinghouse_health_plans_list.pdf 

Claims :: The Health Plan

The Health Plan provides an in-process claims list on payment vouchers, a secure provider portal listing claims status, and a customer service area to handle telephone inquiries. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. The Health Plan encourages electronic claims submission

https://www.healthplan.org/providers/claims-support/claims 

Eclaims | Payer ID Code List

Jul 25, 2016 · Eclaims.com provides a searchable payer id code list, spanning all states for BCBS, MDCR and MDCD. Search by carrier or state in one easy step to locate the correct payer id code, neccessary to route EDI transactions to the correct payer.

https://www.eclaims.com/resources/payer-id-code-list/ 

Claims Payer List - UnitedHealthcare

UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan) 95467 Y. Y Medicaid, Dual SNP. UnitedHealthcare Community Plan / MO 86050. Y Y. (LOB) Brand Name / Plan Name or Region Medical Payer ID Dental Payer ID …

https://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/Payer-List-UHC-Affiliates-Strategic-Alliances.pdf